institution
Positive Impact Residential Services
Mental Health Clinic/Center (Including Community Mental Health Center) in Decatur, Georgia
NPI 1487079562

Positive Impact Residential Services is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Decatur, GA and is specialized in Mental Health (Including Community Mental Health Center). Positive Impact Residential Services practices in Decatur, GA. The NPI Number for Positive Impact Residential Services is 1487079562 and holds a License No. CSW002378 (Georgia).

The current practice location address for Positive Impact Residential Services is 2189 W Ponce De Leon Ave, Decatur, GA and can be reached out via phone at 678-887-3263 and via fax at 404-687-9871.

Location: 2189 W Ponce De Leon Ave, Decatur, GA, 30030-2334
institution
Provider Profile Details
NPI Number
1487079562
Provider Name
Positive Impact Residential Services
Credential
Provider Entity Type
Organization
Address
2189 W Ponce De Leon Ave, Decatur, GA, 30030-2334
Phone Number
678-887-3263
Fax Number
404-687-9871
Provider Enumeration Date
02/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2189 W Ponce De Leon Ave
City
State
Zip
30030-2334
Phone Number
678-887-3263
Fax Number
404-687-9871
person
Provider Business Mailing Address Details
Address
2189 W Ponce De Leon Ave
City
State
Zip
30030-2334
Phone Number
678-887-3263
Fax Number
404-687-9871
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
CSW002378 (Georgia)
Definition
Definition to come...
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