Impact Community Health Organization
NPI #1780340950 in College Park, Georgia
Provider Information
- NPI Number
- 1780340950
- Entity Type
- Organization
- Organization Name
- Impact Community Health Organization
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 12, 2021
- Last Updated
- Nov 12, 2021
Practice Location
- Address
- 3581 MAIN ST STE 103
- City
- College Park
- State
- Georgia
- ZIP Code
- 30337-2623
- Phone
- (704) 315-3895
Authorized Official
- Name
- MR. XAVIER YOUNG
- Title
- CEO
- Phone
- (704) 315-3895
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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