Organization · Type 2 NPI

Loganville Community Ministry Village, Inc.

Community/Behavioral Health Agency · Loganville, GA

NPI number 1124253679 Active

Practice location

678 Tom Brewer Rd
Loganville, GA 30052-4005

Fax (770) 554-3514

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XLPC005585 (GA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

6 other providers at this address

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About NPI 1124253679

Loganville Community Ministry Village, Inc.'s National Provider Identifier is 1124253679, issued on May 27, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Loganville, GA. The record was last updated on May 27, 2009.