NPI 1033593553
New Abundant Living Pch LLC
Practice location
- Address
- 3887 Sable Dr, Stone Mountain, GA 30083-4443
- Phone
- (404) 290-5029
Authorised official
- Name
- Tiara Barber-Boynes
- Title
- Administrator/Owner
- Phone
- (404) 290-5029
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1033593553
- Entity type
- Organization
- NPI issued
- 14 Jul 2015
- Record last updated
- 14 Jul 2015
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.