| The Elim Community Development Center | |
|
4717 Covington Hwy Suite 109 Decatur GA 30035-2015 | |
| (470) 658-9284 | |
| Not Available |
| Full Name | The Elim Community Development Center |
|---|---|
| Speciality | Case Management |
| Location | 4717 Covington Hwy, Decatur, Georgia |
| Authorized Official Name and Position | Osborne J Giles (CEO) |
| Authorized Official Contact | 4706589284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Elim Community Development Center 2714 Waterford Club Dr Lithia Springs GA 30122-4413 Ph: (470) 658-9284 | The Elim Community Development Center 4717 Covington Hwy Suite 109 Decatur GA 30035-2015 Ph: (470) 658-9284 |
| NPI Number | 1851840797 |
|---|---|
| Provider Enumeration Date | 10/03/2016 |
| Last Update Date | 10/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851840797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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