OrganizationActive
Juniors Society Inc
NPI 1649146408 · Intellectual & Developmental Disabilities Psychologist · Decatur, GA
Provider details
- NPI number
- 1649146408
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Richard Jackson, Ceo/Program Director(478) 461-0023
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
811 Creste Dr
Decatur, GA 30035-4135
Phone: (478) 461-0023
Approximate (ZIP-level) locationGet directions
Mailing address
811 Creste Dr
Decatur, GA 30035-4135
Registry dates
- Enumerated
- 2025-10-16
- Last updated
- 2025-10-16
- Certified
- 2025-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.