| Advance Therapeutic Concepts Of Mississippi, Inc. | |
|
2795 Main St W Suite 20b Snellville GA 30078-3164 | |
| (678) 344-7836 | |
| (678) 892-8575 |
| Full Name | Advance Therapeutic Concepts Of Mississippi, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2795 Main St W, Snellville, Georgia |
| Authorized Official Name and Position | Schantate O Johnson (CEO) |
| Authorized Official Contact | 6783447836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Therapeutic Concepts Of Mississippi, Inc. 2795 Main St W Suite 20b Snellville GA 30078-3164 Ph: (678) 344-7836 | Advance Therapeutic Concepts Of Mississippi, Inc. 2795 Main St W Suite 20b Snellville GA 30078-3164 Ph: (678) 344-7836 |
| NPI Number | 1477091353 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477091353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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