National Provider Identifier Database

JUNIORS SOCIETY INC
Intellectual & Developmental Disabilities


Contact Information

JUNIORS SOCIETY INC
811 CRESTE DR
DECATUR, GA30035-4135
Phone: 478-461-0023
Fax:
Website:
Specialty Taxonomy Code
* Intellectual & Developmental Disabilities 103TM1800X

* Indicates primary specialty

NPI Profile & details for JUNIORS SOCIETY INC

NPI Number 1184590945
Legal business name
LBN
JUNIORS SOCIETY INC
Authorized official RICHARD JACKSON - (CEO/PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/16/2025
Last updated 10/16/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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