Provider Demographics
NPI:1023338027
Name:STAND, INC.
Entity type:Organization
Organization Name:STAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SPERLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-288-4668
Mailing Address - Street 1:3486 COVINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-1805
Mailing Address - Country:US
Mailing Address - Phone:404-288-4668
Mailing Address - Fax:404-288-4688
Practice Address - Street 1:3486 COVINGTON HWY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1805
Practice Address - Country:US
Practice Address - Phone:404-288-4668
Practice Address - Fax:404-288-4688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health