Organization
TINAWANE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RETINA DAWSON-YOUNG MSW (CEO)
(404) 428-8038
Entity
Organization
Contact information
Practice address
5090 ALEXANDER AVE, UNION CITY, GA 30291-1140
(404) 428-8038
Mailing address
5090 ALEXANDER AVE, UNION CITY, GA 30291-1140
(404) 428-8038
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10052853
AMERIGROUP
GA
05
—
414894283A
—
GA
01
—
833749000
MAGELLAN
GA
Enumeration date
02/14/2007
Last updated
02/11/2009
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