Organization
ADOLESCENT ADVOCACY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAA DZAMA ODDOYE (EXECUTIVE DIRECTOR)
(678) 525-0966
Entity
Organization
Contact information
Practice address
312 RIMINGTON LN, DECATUR, GA 30030-2134
(678) 404-6733
Mailing address
312 RIMINGTON LN, DECATUR, GA 30030-2134
(678) 404-6733
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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