Irie's Community Development Center, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IRIE'S COMMUNITY DEVELOPMENT CENTER, INC

Practice address

112 Mall Rd
Dublin, GA 31021-3035

Phone

(404) 835-3215

Fax

(404) 835-3217

NPI assigned

Sep 6, 2010

Last updated

Mar 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy J Towns

Title

President/Owner

Phone

(478) 353-8500

Specialties & licenses 2

Addresses

Other identifiers 4

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Irie's Behavioral Health Services

  • Mental Health Counselor
  • College Park, GA
  • NPI 1720634884
  NPPES parent name
• Irie's Home Care Services, Inc.

  • In Home Supportive Care Agency
  • College Park, GA
  • NPI 1841846672
  NPPES parent name

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

{
    "created_epoch": "1283731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1487961942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5495 OLD NATIONAL HWY STE C1",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493256",
            "telephone_number": "470-357-2561",
            "fax_number": "470-357-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MALL RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213035",
            "telephone_number": "404-835-3215",
            "fax_number": "404-835-3217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5495 Old National Hwy Ste C1",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "GA",
            "postal_code": "303493256",
            "country_code": "US",
            "telephone_number": "470-357-2561",
            "fax_number": "470-357-2564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRIE'S COMMUNITY DEVELOPMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-06",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "TOWNS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "478-353-8500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003204906B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003143622A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140721A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003204906A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Dublin, GA
• Providers in Dublin, 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 Mar 21, 2019; 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.