The Potters House Family And Children Treatment Center

NPI 1295985836 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1295985836
Enumeration Date 09/19/2008
Last Updated 09/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MARA MARA
Position OFFICE MANAGER
Phone (678) 987-1020
Fax
Practice Location
1899 PARKER CT
STONE MOUNTAIN GA, 30087-3445, US
Phone (678) 987-1020
Fax
Business Location
1899 PARKER CT
STONE MOUNTAIN GA, 30087-3445, US
Phone (678) 987-1020
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Georgia
License Number LPC005144
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According to our database, The Potters House Family And Children Treatment Center NPI is 1295985836, taxonomy code is 251S00000X and license number is LPC005144, license state is located at Georgia. The Potters House Family And Children Treatment Center physically located at 1899 Parker Ct, Stone Mountain GA, 30087-3445. NPI Number 1033115704 has the healthcare provider type.

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1295985836 NPI number is provided on an as is basis without warranty of any kind. 1295985836 is maintained by the National Plan & Provider Enumeration System. The contents of The Potters House Family And Children Treatment Center are for informational purposes only.