Provider Demographics
NPI:1295163038
Name:PARTNERSHIP OF GREATER ATLANTA
Entity type:Organization
Organization Name:PARTNERSHIP OF GREATER ATLANTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHEKINAH
Authorized Official - Middle Name:JAEL
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MBR
Authorized Official - Phone:252-258-4231
Mailing Address - Street 1:8397 DUNCAN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-1829
Mailing Address - Country:US
Mailing Address - Phone:252-258-4231
Mailing Address - Fax:
Practice Address - Street 1:8397 DUNCAN ST
Practice Address - Street 2:SUITE C
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-1829
Practice Address - Country:US
Practice Address - Phone:252-258-4231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-14
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management