Organization
SUCCESS DYNAMICS INCORPORATED
Active
Organization
SUCCESS DYNAMICS INCORPORATED
Active
Other names
Success Dynamics Incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN OLIVER ELLISON (CEO)
(252) 717-5930
Entity
Organization
Contact information
Practice address
2056 W PARK PLACE BLVD STE D, STONE MOUNTAIN, GA 30087-3537
(678) 318-3622
Mailing address
2056 W PARK PLACE BLVD STE D, STONE MOUNTAIN, GA 30087-3537
(678) 318-3622
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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