Provider Demographics
NPI:1265732127
Name:ACHOR CENTER, INC.
Entity type:Organization
Organization Name:ACHOR CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-699-5657
Mailing Address - Street 1:180 PEYTON PL SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-1616
Mailing Address - Country:US
Mailing Address - Phone:404-699-5657
Mailing Address - Fax:404-699-5965
Practice Address - Street 1:180 PEYTON PL SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-1616
Practice Address - Country:US
Practice Address - Phone:404-699-5657
Practice Address - Fax:404-699-5965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health