Provider Demographics
NPI:1104081173
Name:A-POSITIVE INTERVENTION CORPORATED
Entity type:Organization
Organization Name:A-POSITIVE INTERVENTION CORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-314-1215
Mailing Address - Street 1:823 COVERED BRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-9611
Mailing Address - Country:US
Mailing Address - Phone:404-314-1215
Mailing Address - Fax:770-573-3647
Practice Address - Street 1:823 COVERED BRIDGE WAY
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-9611
Practice Address - Country:US
Practice Address - Phone:404-314-1215
Practice Address - Fax:770-573-3647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health