Provider Demographics
NPI:1194364679
Name:ADAMS LEARNING ACADEMY, INC.
Entity type:Organization
Organization Name:ADAMS LEARNING ACADEMY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CE0
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:404-883-6458
Mailing Address - Street 1:5482 CHRISTI DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-2502
Mailing Address - Country:US
Mailing Address - Phone:404-883-6458
Mailing Address - Fax:
Practice Address - Street 1:5482 CHRISTI DR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-2502
Practice Address - Country:US
Practice Address - Phone:404-883-6458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-31
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency