Organization Active NPI

Diamonds in the Rough Services for Youth and Families Inc.

  • Community/Behavioral Health Agency
  • Morrow, GA
National Provider Identifier
1992058739
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIAMONDS IN THE ROUGH SERVICES FOR YOUTH AND FAMILIES INC.
Practice address
2426 Wood Valley Dr
Morrow, GA 30260-1457
Phone
(404) 608-1536
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Khrystal Joy Jones, B.S.W M.A
Title
Director
Phone
(404) 353-4152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2426 Wood Valley Dr
Morrow, GA 30260-1457

Mailing address

1741 Broad River Rd
College Park, GA 30349-9160
Phone (404) 353-4152

Other identifiers 1

IdentifierTypeStateIssuer
397016252AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1992058739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 BROAD RIVER RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303499160",
            "telephone_number": "404-353-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 WOOD VALLEY DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601457",
            "telephone_number": "404-608-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMONDS IN THE ROUGH SERVICES FOR YOUTH AND FAMILIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KHRYSTAL",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-353-4152",
        "authorized_official_credential": "B.S.W M.A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397016252A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.