Provider Demographics
NPI:1144703505
Name:PEOPLE WITH A PURPOSE, INC.
Entity type:Organization
Organization Name:PEOPLE WITH A PURPOSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDING EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-396-5390
Mailing Address - Street 1:4840 OLD NATIONAL HWY
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30337-6233
Mailing Address - Country:US
Mailing Address - Phone:470-355-7920
Mailing Address - Fax:
Practice Address - Street 1:4840 OLD NATIONAL HWY
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-6233
Practice Address - Country:US
Practice Address - Phone:470-355-7920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)