| Today's Family Ties | |
|
6439 Briarwood Ct Riverdale GA 30296-2904 | |
| (404) 433-0307 | |
| Not Available |
| Full Name | Today's Family Ties |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6439 Briarwood Ct, Riverdale, Georgia |
| Authorized Official Name and Position | Larry Dewitt Fuller (COMMUNITY RESOURCE SPECIALIST) |
| Authorized Official Contact | 4044330307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Today's Family Ties 6439 Briarwood Ct Riverdale GA 30296-2904 Ph: (404) 433-0307 | Today's Family Ties 6439 Briarwood Ct Riverdale GA 30296-2904 Ph: (404) 433-0307 |
| NPI Number | 1407112360 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407112360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 12-00036428 (Georgia) | Primary |
| 252Y00000X | Early Intervention Provider Agency | 12-00036428 (Georgia) | Secondary |
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