OrganizationActive
Classic Community Support Inc
NPI 1730209487 · Developmentally Disabled Services Day Training Agency · Stone Mountain, GA
Provider details
- NPI number
- 1730209487
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Charles Martin, Ceo Director(770) 498-0832
Specialties & taxonomies
Agencies
Practice location
739 Main St
Suite 3
Stone Mountain, GA 30083-3087
Phone: (770) 498-0832
Approximate (ZIP-level) locationGet directions
Mailing address
739 Main St
Stone Mountain, GA 30083-3087
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.