Dekalb Community Service Board

NPI #1003951088 in Tucker, Georgia

Provider Information

NPI Number
1003951088
Entity Type
Organization
Organization Name
Dekalb Community Service Board
Subpart
Yes (part of a larger organization)
Parent Organization
DEKALB COMMUNITY SERVICE BOARD
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 20, 2007
Last Updated
Apr 23, 2020

Practice Location

Address
4316 SMITHSONIA DR
City
Tucker
State
Georgia
ZIP Code
30084-2615
Phone
(770) 938-3578

Authorized Official

Name
FABIO BRUNO VAN DER MERWE
Title
COO
Phone
(404) 294-3836

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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Dekalb Community Service Board

Part of Dekalb Community Service Board

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