NPI 1265902381

Inner Self Corp

Organisation Prevention Professional Stockbridge, GA

Practice location

Address: 502 Eastwood Village Dr, Stockbridge, GA 30281-7759
Phone: (404) 720-8185
Fax: (800) 730-9238
Mailing address: PO Box 633, Stockbridge, GA 30281-0633

Authorised official

Name: Tawanda Braswell
Title: Executive Director
Phone: (404) 720-8185

Registered specialties (2)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

Other Prevention Professional providers in Georgia →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

Other Case Manager/Care Coordinator providers in Georgia →

Registry record

NPI: 1265902381
Entity type: Organization
NPI issued: 1 Dec 2018
Record last updated: 1 Dec 2018

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.