GRANDMA'S PORCH FAMILY SUPPORT SERVICES LLC NPI 1154794410

NPI Information

GRANDMA'S PORCH FAMILY SUPPORT SERVICES LLC is a professional counselor in Atlanta, GA. GRANDMA'S PORCH FAMILY SUPPORT SERVICES LLC NPI is 1154794410. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3915 CASCADE RD SW
SUITE T132
ATLANTA, GA
ZIP 30331-512
Phone: (678) 607-5735

The provider's authorized official is Dietra Taylor .
The authorized official title is Owner and has the following contact phone number (678) 607-5735.

The enumeration date for this NPI number is 11/9/2015 and was last updated on 11/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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