Organization
TIME 2 INSPIRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA KING BSW/CRC (CHIEF EXECUTIVE OFFICER)
(770) 371-4017
Entity
Organization
Contact information
Practice address
4554 ANNISTOWN RD, SNELLVILLE, GA 30039-7308
(770) 371-4017
Mailing address
3675 CRESTWOOD PKWY NW STE 400, DULUTH, GA 30096-5054
(770) 371-4017
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
GA
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
385HR2050X
Respite Care Camp
—
GA
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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