NPI 1578190450
Four-Sixty INC
Practice location
- Address
- 4300 Martha Berry Hwy NE, Rome, GA 30165-8642
- Phone
- (678) 834-7615
- Mailing address
- 460 Berkshire Pl, Fairburn, GA 30213-2069
Authorised official
- Name
- Norwood N Richardson
- Title
- Owner
- Phone
- (832) 454-8506
Registered specialties (3)
Inpatient Hospice
Primary
Mental Health Counselor
Foster Care Agency
Registry record
- NPI
- 1578190450
- Entity type
- Organization
- NPI issued
- 23 Mar 2020
- Record last updated
- 23 Mar 2020
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.