NPI 1982953022

Fragments Ministry Incorporated

Organisation Bus Atlanta, GA

Practice location

Address: 635 Pearce St SW, Atlanta, GA 30310-2829
Phone: (404) 735-3237
Mailing address: 5793 James Rd, Austell, GA 30168-4505

Authorised official

Name: Gerald Leon Cloud
Title: D.O.
Phone: (678) 598-0651

Registered specialties (2)

Bus Primary

Transportation Services Taxonomy 347B00000X

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Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X

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Registry record

NPI: 1982953022
Entity type: Organization
NPI issued: 5 Sep 2012
Record last updated: 5 Sep 2012

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.