Provider Demographics
NPI:1811240633
Name:THE ADULT RESOURCE COALITION
Entity type:Organization
Organization Name:THE ADULT RESOURCE COALITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MCKEISHA
Authorized Official - Middle Name:LA'SHON
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-687-9445
Mailing Address - Street 1:609 HUNNICUTT RD SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-4607
Mailing Address - Country:US
Mailing Address - Phone:404-565-1077
Mailing Address - Fax:
Practice Address - Street 1:609 HUNNICUT RD
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126
Practice Address - Country:US
Practice Address - Phone:404-565-1077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health