NPI 1003192824

Building a Solid Foundation

Organisation Community/Behavioral Health Agency Stone Mountain, GA

Practice location

Address: 961 N Hairston Rd 230a, Stone Mountain, GA 30083-2854
Phone: (770) 469-3211

Authorised official

Name: Leslie Ashlock
Title: Ceo
Phone: (770) 469-3211

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Georgia →

Registry record

NPI: 1003192824
Entity type: Organization
NPI issued: 25 Oct 2011
Record last updated: 25 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.