Provider Demographics
NPI:1780845586
Name:YOUNG ADULT GUIDANCE CENTER, INC
Entity Type:Organization
Organization Name:YOUNG ADULT GUIDANCE CENTER, INC
Other - Org Name:YAGC, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARION
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-792-7616
Mailing Address - Street 1:PO BOX 93361
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30377-0361
Mailing Address - Country:US
Mailing Address - Phone:404-792-7616
Mailing Address - Fax:404-794-0151
Practice Address - Street 1:1230 HIGHTOWER RD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-3822
Practice Address - Country:US
Practice Address - Phone:404-792-7616
Practice Address - Fax:404-794-0151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health