Destined 4 Greatness
NPI #1245583194 in Sugar Hill, Georgia
Provider Information
- NPI Number
- 1245583194
- Entity Type
- Organization
- Organization Name
- Destined 4 Greatness
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 16, 2012
- Last Updated
- Oct 16, 2012
Practice Location
- Address
- 698 GRAND FOLIA CT
- City
- Sugar Hill
- State
- Georgia
- ZIP Code
- 30518-5593
- Phone
- (404) 597-9490
Authorized Official
- Name
- MR. JIMMIE L WARREN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (404) 597-9490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Residential Treatment Facility, Emotionally Disturbed Children |
| Non-emergency Medical Transport (VAN) |
| Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child |
| Community/Behavioral Health |
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