Organization
FULTON COUNTY GOVT MHDDAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JACKSON LATTIMORE PH D (DIRECTOR)
(404) 730-0230
Entity
Organization
Contact information
Practice address
115 MARTIN LUTHER KING JR DR SW, SUITE 277, ATLANTA, GA 30303-3536
(404) 730-0230
(404) 730-0341
Mailing address
115 MARTIN LUTHER KING JR DR SW, SUITE 277, ATLANTA, GA 30303-3536
(404) 730-0230
(404) 730-0341
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
04/20/2008
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