Faith Open Door Community Center, Inc.

NPI 1770974461 - Counselor - 101Y00000X

NPI Details
NPI 1770974461
Enumeration Date 02/17/2015
Last Updated 02/17/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name GERALDINE GERALDINE
Position CEO
Phone (678) 545-6053
Fax (678) 545-6119
Practice Location
259 ARROWHEAD BLVD
C2
JONESBORO GA, 30236-1167, US
Phone (678) 545-6053
Fax (678) 545-6119
Business Location
259 ARROWHEAD BLVD
C2
JONESBORO GA, 30236-1167, US
Phone (678) 545-6053
Fax (678) 545-6119
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Faith Open Door Community Center, Inc. NPI is 1770974461, taxonomy code is 101Y00000X Faith Open Door Community Center, Inc. physically located at 259 Arrowhead Blvd, Jonesboro GA, 30236-1167. NPI Number 1033115704 has the healthcare provider type.

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1770974461 NPI number is provided on an as is basis without warranty of any kind. 1770974461 is maintained by the National Plan & Provider Enumeration System. The contents of Faith Open Door Community Center, Inc. are for informational purposes only.