Organization
CLASSIC COMMUNITY SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MARTIN (CEO DIRECTOR)
(770) 498-0832
Entity
Organization
Contact information
Practice address
739 MAIN ST, SUITE 3, STONE MOUNTAIN, GA 30083-3087
(770) 498-0832
Mailing address
739 MAIN ST, SUITE 3, STONE MOUNTAIN, GA 30083-3087
(770) 498-0832
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
GA
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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