Provider Demographics
NPI:1902934318
Name:GEORGIA COMMUNITY SUPPORT & SOLUTIONS, INC.
Entity Type:Organization
Organization Name:GEORGIA COMMUNITY SUPPORT & SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FUCHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-634-4222
Mailing Address - Street 1:1945 CLIFF VALLEY WAY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2436
Mailing Address - Country:US
Mailing Address - Phone:404-634-4222
Mailing Address - Fax:404-634-1324
Practice Address - Street 1:1945 CLIFF VALLEY WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2436
Practice Address - Country:US
Practice Address - Phone:404-634-4222
Practice Address - Fax:404-634-1324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044R0077251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services