Provider Demographics
NPI:1295994622
Name:HUMANITY UNITED WITH GOD FOR SOCIETY, INC.
Entity type:Organization
Organization Name:HUMANITY UNITED WITH GOD FOR SOCIETY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:BILLINGSLEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-691-4460
Mailing Address - Street 1:21 CEDAR RUN
Mailing Address - Street 2:SUITE N
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-2496
Mailing Address - Country:US
Mailing Address - Phone:678-691-4460
Mailing Address - Fax:678-691-4461
Practice Address - Street 1:21 CEDAR RUN
Practice Address - Street 2:SUITE N
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2496
Practice Address - Country:US
Practice Address - Phone:678-691-4460
Practice Address - Fax:678-691-4461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility