Fragments Ministry Incorporated

NPI #1982953022 in Atlanta, Georgia

Provider Information

NPI Number: 1982953022
Entity Type: Organization
Organization Name: Fragments Ministry Incorporated
Primary Specialty: Bus
Enumeration Date: Sep 5, 2012
Last Updated: Sep 5, 2012

Practice Location

Address: 635 PEARCE ST SW
City: Atlanta
State: Georgia
ZIP Code: 30310-2829
Phone: (404) 735-3237

Authorized Official

Name: GERALD LEON CLOUD
Title: D.O.
Phone: (678) 598-0651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Bus	347B00000X	Primary

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