The Center For Creative Growth And Human Development, Inc.

NPI 1205027398 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1205027398
Enumeration Date 08/05/2007
Last Updated 08/05/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JIMMY D. JIMMY
Position EXECUTIVE DIRECTOR/CEO
Phone (706) 884-1080
Fax (706) 812-8866
Practice Location
111B CORPORATE PARK EAST DR
LAGRANGE GA, 30241-3680, US
Phone (706) 884-1080
Fax (706) 812-8866
Business Location
111B CORPORATE PARK EAST DR
LAGRANGE GA, 30241-3680, US
Phone (706) 884-1080
Fax (706) 812-8866
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, The Center For Creative Growth And Human Development, Inc. NPI is 1205027398, taxonomy code is 251S00000X The Center For Creative Growth And Human Development, Inc. physically located at 111b Corporate Park East Dr, Lagrange GA, 30241-3680. NPI Number 1033115704 has the healthcare provider type.

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1205027398 NPI number is provided on an as is basis without warranty of any kind. 1205027398 is maintained by the National Plan & Provider Enumeration System. The contents of The Center For Creative Growth And Human Development, Inc. are for informational purposes only.