Passport 2 Prosperity Incorporated
NPI #1912207317 in College Park, Georgia
Provider Information
- NPI Number
- 1912207317
- Entity Type
- Organization
- Organization Name
- Passport 2 Prosperity Incorporated
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 1, 2010
- Last Updated
- Nov 1, 2010
Practice Location
- Address
- 265 REDDING RDG
- City
- College Park
- State
- Georgia
- ZIP Code
- 30349-8027
- Phone
- (404) 583-4940
Authorized Official
- Name
- MRS. MELINDA RICHARDS
- Title
- CEO/ EXECUTIVE DIRECTOR
- Phone
- (404) 583-4940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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