Provider Demographics
NPI:1245634419
Name:JOYUS BEGINNINGS CFWC
Entity type:Organization
Organization Name:JOYUS BEGINNINGS CFWC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-496-3829
Mailing Address - Street 1:1626 VIRGINIA AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30337-2857
Mailing Address - Country:US
Mailing Address - Phone:404-496-3829
Mailing Address - Fax:
Practice Address - Street 1:1626 VIRGINIA AVE
Practice Address - Street 2:SUITE F
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-2857
Practice Address - Country:US
Practice Address - Phone:404-496-3829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA821824221BMedicaid