IMPACT COMMUNITY HEALTH ORGANIZATION
NPI 1780340950
Community/Behavioral Health in College Park, GA

Q: What is Impact Community Health Organization's NPI number?

The NPI number for Impact Community Health Organization is 1780340950. It was assigned to this organization in the NPPES registry on November 12, 2021.

Q: What is Impact Community Health Organization's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since November 12, 2021

3581 MAIN ST STE 103, COLLEGE PARK, GA 30337(704) 315-3895 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Impact Community Health Organization NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT COMMUNITY HEALTH ORGANIZATION (NPI 1780340950) is a healthcare organization registered as a community/behavioral health in College Park, Georgia and active in the NPI registry since November 2021. The organization lists Xavier Young, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780340950

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameIMPACT COMMUNITY HEALTH ORGANIZATION

Location Address3581 MAIN ST STE 103College Park, GA 30337-2623

Mailing Address1905 John Calvin AveCollege Park, GA 30337-2517 · (704) 315-3895

Phone(704) 315-3895

Organization SubpartNo

Authorized OfficialXavier YoungCeo · (704) 315-3895

Enumeration DateNovember 12, 2021

NPPES CertifiedNovember 12, 2021

✔ NPI 1780340950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

3581 MAIN ST STE 103, College Park, GA 30337

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Other Identifiers 1

Medicaid7043153895GA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Community Health Organization's NPI number?

The NPI number for Impact Community Health Organization is 1780340950. It was assigned to this organization in the NPPES registry on November 12, 2021.

Where is Impact Community Health Organization located?

Impact Community Health Organization is located at 3581 Main St Ste 103, College Park, GA 30337. The listed phone number is (704) 315-3895.

What is Impact Community Health Organization's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Impact Community Health Organization was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.