Organization
PROJECT REACH BACK CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JESSICA DEBOYIA LAWRENCE (CHIEF EXECUTIVE CONSULTANT)
(678) 670-8434
Entity
Organization
Contact information
Practice address
1624 EMERALD AVE SW, ATLANTA, GA 30310-1510
(678) 670-8434
Mailing address
1624 EMERALD AVE SW, ATLANTA, GA 30310-1510
(678) 670-8434
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/23/2014
Last updated
01/27/2014
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