Good Ground Development Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC003793 Issued in GA

Legal business name

GOOD GROUND DEVELOPMENT CENTER

Practice address

692 Beechwood CT
Jonesboro, GA 30238-7904

Phone

(678) 457-5461

Fax

(678) 610-9577

NPI assigned

Jul 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bradford Farmer

Title

Cfo

Phone

(678) 458-3660

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1396943320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 BEECHWOOD CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302387904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 BEECHWOOD CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302387904",
            "telephone_number": "678-457-5461",
            "fax_number": "678-610-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD GROUND DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-458-3660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC003793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.