Provider Demographics
NPI:1124330386
Name:FAVORABLE NETWORK SOLUTIONS
Entity type:Organization
Organization Name:FAVORABLE NETWORK SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:BENARD
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:NADSAP
Authorized Official - Phone:678-900-2839
Mailing Address - Street 1:881 MEMORIAL DR SE
Mailing Address - Street 2:SUITE 213
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-1270
Mailing Address - Country:US
Mailing Address - Phone:678-900-2839
Mailing Address - Fax:770-323-9315
Practice Address - Street 1:881 MEMORIAL DR SE
Practice Address - Street 2:SUITE 213
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-1270
Practice Address - Country:US
Practice Address - Phone:678-900-2839
Practice Address - Fax:770-323-9315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-04
Last Update Date:2010-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children