Organization
FAMILYMENDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI SMITH (EXECUTIVE DIRECTOR)
(423) 991-1441
Entity
Organization
Contact information
Practice address
5789 BATTLEFIELD PKWY, RINGGOLD, GA 30736-5154
(423) 266-4129
Mailing address
PO BOX 4780, CHATTANOOGA, TN 37405-0780
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373880279A
—
GA
Enumeration date
03/30/2011
Last updated
03/30/2011
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