Organization
PASSPORT 2 PROSPERITY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA RICHARDS (CEO/ EXECUTIVE DIRECTOR)
(404) 583-4940
Entity
Organization
Contact information
Practice address
265 REDDING RDG, COLLEGE PARK, GA 30349-8027
(404) 583-4940
(770) 306-6068
Mailing address
265 REDDING RDG, COLLEGE PARK, GA 30349-8027
(404) 583-4940
(770) 306-6068
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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