Provider Demographics
NPI:1841505799
Name:PROJECT FAMILY LLC
Entity type:Organization
Organization Name:PROJECT FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:SLATTERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-202-6563
Mailing Address - Street 1:330 RESEARCH DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-2750
Mailing Address - Country:US
Mailing Address - Phone:706-202-6563
Mailing Address - Fax:888-334-4283
Practice Address - Street 1:330 RESEARCH DR
Practice Address - Street 2:SUITE 210
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-2750
Practice Address - Country:US
Practice Address - Phone:706-202-6563
Practice Address - Fax:888-334-4283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2013-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health