Organization · Type 2 NPI
Positive Impact Residential Services
Mental Health Clinic/Center (Including Community Mental Health Center) · Decatur, GA
NPI number
1487079562
Active
Practice location
2189 W Ponce De Leon Ave
Decatur, GA 30030-2334
Fax (404) 687-9871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | CSW002378 (GA) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1487079562
Positive Impact Residential Services's National Provider Identifier is 1487079562, issued on Feb 25, 2014. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Decatur, GA. The record was last updated on Feb 25, 2014.