Organization
NRS2000
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE MARIE WILLIAMS B.A., M.S., CRC, (DIRECTOR/CEO)
(770) 912-6446
Entity
Organization
Contact information
Practice address
1813 WEE KIRK RD SE, ATLANTA, GA 30316-4435
(770) 912-6446
Mailing address
1813 WEE KIRK RD SE, ATLANTA, GA 30316-4435
(770) 912-6446
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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