| Building A Solid Foundation | |
|
961 N Hairston Rd 230a Stone Mountain GA 30083-2854 | |
| (770) 469-3211 | |
| Not Available |
| Full Name | Building A Solid Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 961 N Hairston Rd, Stone Mountain, Georgia |
| Authorized Official Name and Position | Leslie Ashlock (CEO) |
| Authorized Official Contact | 7704693211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building A Solid Foundation 961 N Hairston Rd 230a Stone Mountain GA 30083-2854 Ph: () - | Building A Solid Foundation 961 N Hairston Rd 230a Stone Mountain GA 30083-2854 Ph: (770) 469-3211 |
| NPI Number | 1003192824 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 10/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003192824 | NPI | - | NPPES |
| 053985334 | Other | GA | DRIVER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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