| A Family First Community Services, Llc | |
|
2193 Northlake Pkwy Suite 25 Tucker GA 30084-4116 | |
| (770) 414-9676 | |
| (770) 414-8415 |
| Full Name | A Family First Community Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2193 Northlake Pkwy, Tucker, Georgia |
| Authorized Official Name and Position | Subrinia Blanchard (CEO) |
| Authorized Official Contact | 7704149676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Family First Community Services, Llc 2193 Northlake Pkwy Suite 25 Tucker GA 30084-4116 Ph: (770) 414-9676 | A Family First Community Services, Llc 2193 Northlake Pkwy Suite 25 Tucker GA 30084-4116 Ph: (770) 414-9676 |
| NPI Number | 1346401064 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346401064 | NPI | - | NPPES |
| 839321842A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Georgia) | Primary |
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