Advanced Community Care, LLC
Organization Active NPI Community/Behavioral Health Agency · Decatur, GA
NPI 1497009351 · NPPES record last updated Oct 30, 2012
Key facts
- NPI
- 1497009351
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADVANCED COMMUNITY CARE, LLC
- Practice address
- 3225 Wyndham Park LN
Decatur, GA 30034-5465 - Phone
- (919) 358-3344
- NPI assigned
- Oct 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Donnie Fitzgerald Mann
- Title
- Member
- Phone
- (919) 358-3344
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
3225 Wyndham Park LN
Decatur, GA 30034-5465
Mailing address
3225 Wyndham Park LN
Decatur, GA 30034-5465
Phone (919) 358-3344
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All providers in Decatur, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.