Organization
DESTINYS DOORS LLC
Active
Organization
DESTINYS DOORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAWNTA WELCH (CEO)
(470) 554-0206
Entity
Organization
Contact information
Practice address
3781 PRESIDENTIAL PKWY STE 106, ATLANTA, GA 30340-3702
(470) 554-0206
Mailing address
3781 PRESIDENTIAL PKWY STE 106, ATLANTA, GA 30340-3702
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14011940
GA
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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