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GREATER ATLANTA YOUTH DEVELOPMENT CORPORATION NPI 1992014823


NPI Information

NPI: 1992014823
Provider Name: GREATER ATLANTA YOUTH DEVELOPMENT CORPORATION

Other Name: GAYDC

Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
455 NORTH DR
FAYETTEVILLE, GA
ZIP 30214
Phone: (404) 593-9613
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GREATER ATLANTA YOUTH DEVELOPMENT CORPORATION is a voluntary or charitable in Fayetteville, GA. GREATER ATLANTA YOUTH DEVELOPMENT CORPORATION NPI is 1992014823. The provider is registered as an organization entity type.
The provider Other Name Is Gaydc.

The provider's business location address is:

455 NORTH DR
FAYETTEVILLE, GA
ZIP 30214-628
Phone: (404) 593-9613
Fax: (770) 975-7732

The provider's authorized official is William Joseph Thomas .
The authorized official title is Executive Director and has the following contact phone number (404) 593-9613.

The enumeration date for this NPI number is 9/27/2010 and was last updated on 9/27/2010.


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
1251S00000XCommunity/Behavioral HealthNo
2252Y00000XEarly Intervention Provider AgencyNo
3251V00000XVoluntary or CharitableYes

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

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