Organization
PETERKIN & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE D. SMITH ED.D. (EXECUTIVE DIRECTOR)
(910) 323-1817
Entity
Organization
Contact information
Practice address
2692 HARRIS STREET, EAST POINT, GA 30344-2672
(770) 595-6705
(770) 421-6003
Mailing address
131 HAY STREET, SUITE 201, FAYETTEVILLE, NC 28301-5649
(910) 323-1817
(910) 323-2607
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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