Organization
ATLANTA INTERVENTION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN I COLQUITT (CEO)
(404) 914-2965
Entity
Organization
Contact information
Practice address
461 HILLSIDE DR SW, ATLANTA, GA 30310-4415
(404) 914-2965
Mailing address
6992 TALKEETNA CT SW, ATLANTA, GA 30331-9480
(404) 914-2965
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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