Organization
PEACEFUL HARMONY HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE MARTIN JR. (CEO)
(404) 245-6292
Entity
Organization
Contact information
Practice address
10649 TARA VILLAGE WAY, JONESBORO, GA 30238-7963
(404) 245-6292
(404) 921-3747
Mailing address
10649 TARA VILLAGE WAY, JONESBORO, GA 30238-7963
(404) 245-6292
(404) 921-3747
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
031-01-308-9
GA
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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