OrganizationActive
Destined 4 Greatness
NPI 1245583194 · Community/Behavioral Health Agency · Sugar Hill, GA
Provider details
- NPI number
- 1245583194
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jimmie Warren, Executive Director(404) 597-9490
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
Residential Treatment Facilities
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Child Mental Illness Respite Care385HR2055X
Respite Care Facility
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
698 Grand Folia Ct
Sugar Hill, GA 30518-5593
Phone: (404) 597-9490
Street-level locationGet directions
Mailing address
698 Grand Folia Ct
Sugar Hill, GA 30518-5593
Registry dates
- Enumerated
- 2012-10-16
- Last updated
- 2012-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.