Dekalb Community Service Board

NPI #1629113436 in Tucker, Georgia

Provider Information

NPI Number
1629113436
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 22, 2020

Practice Location

Address
4559 LAVISTA RD
City
Tucker
State
Georgia
ZIP Code
30084-4225
Phone
(770) 270-8994

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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