Organization
ASSERTIVE COMMUNITY SOLUTIONS
Active
Organization
ASSERTIVE COMMUNITY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY DWYER (EXECUTIVE DIRECTOR)
(678) 973-7358
Entity
Organization
Contact information
Practice address
1983 TEMPLE PARK DR, LOGANVILLE, GA 30052-5833
(678) 973-7358
Mailing address
1983 TEMPLE PARK DR, LOGANVILLE, GA 30052-5833
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
80-0831636
FL
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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