M.a.C. Youth Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

M.A.C. YOUTH SERVICES

Practice address

2365 Thackery Rd
Snellville, GA 30078-4141

Phone

(770) 864-5282

NPI assigned

Jan 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Macklin

Title

Owner/Executive Director

Phone

(470) 365-8395

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1841736444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 THACKERY RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784141",
            "telephone_number": "770-864-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 THACKERY RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784141",
            "telephone_number": "770-864-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.C. YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "MACKLIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "470-365-8395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Snellville, GA
• Providers in Snellville, 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 Jan 6, 2017; 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.