CREW STREET COMMUNITY INTEGRATION HOME NPI 1437375672

NPI Information

NPI: 1437375672
Provider Name: CREW STREET COMMUNITY INTEGRATION HOME
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
885 CREW ST SW
ATLANTA, GA
ZIP 30315
Phone: (404) 586-9260
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CREW STREET COMMUNITY INTEGRATION HOME is a mental health (including community mental health center) clinic center in Atlanta, GA. CREW STREET COMMUNITY INTEGRATION HOME NPI is 1437375672. The provider is registered as an organization entity type.

The provider's business location address is:

885 CREW ST SW
ATLANTA, GA
ZIP 30315-540
Phone: (404) 586-9260

The provider's authorized official is Ralph Salandy .
The authorized official title is Manager and has the following contact phone number (404) 819-0901.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	044232	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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