NPI 1063603413

Abba House Human Development and Resources Center of Ga, INC.

Organisation Community/Behavioral Health Agency Ellenwood, GA

Practice location

Address: 110 Tasha Cir, Ellenwood, GA 30294-3046
Phone: (404) 867-8945
Fax: (770) 981-5070

Authorised official

Name: Robert L Harrell
Title: Executive Director/Ceo
Phone: (404) 867-8945

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Georgia →

Registry record

NPI: 1063603413
Entity type: Organization
NPI issued: 9 Aug 2007
Record last updated: 9 Aug 2007

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.