| Abba House Human Development And Resources Center Of Ga, Inc. | |
|
110 Tasha Cir Ellenwood GA 30294-3046 | |
| (404) 867-8945 | |
| (770) 981-5070 |
| Full Name | Abba House Human Development And Resources Center Of Ga, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 Tasha Cir, Ellenwood, Georgia |
| Authorized Official Name and Position | Robert L Harrell (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 4048678945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abba House Human Development And Resources Center Of Ga, Inc. 110 Tasha Cir Ellenwood GA 30294-3046 Ph: (404) 867-8945 | Abba House Human Development And Resources Center Of Ga, Inc. 110 Tasha Cir Ellenwood GA 30294-3046 Ph: (404) 867-8945 |
| NPI Number | 1063603413 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 08/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063603413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
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