OrganizationActive
Assertive Community Solutions
NPI 1962753699 · Point of Service · Loganville, GA
Provider details
- NPI number
- 1962753699
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Tracy Dwyer, Executive Director(678) 973-7358
- License
- 80-0831636 (FL)
Specialties & taxonomies
Managed Care Organizations
Practice location
1983 Temple Park Dr
Loganville, GA 30052-5833
Phone: (678) 973-7358
Approximate (ZIP-level) locationGet directions
Mailing address
1983 Temple Park Dr
Loganville, GA 30052-5833
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2012-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.