| Behavioral Health Services, Rehab, Healthcare Provider, Counseling | |
|
2879 Heritage Oaks Cir Dacula GA 30019-7082 | |
| (313) 805-5386 | |
| Not Available |
| Full Name | Behavioral Health Services, Rehab, Healthcare Provider, Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2879 Heritage Oaks Cir, Dacula, Georgia |
| Authorized Official Name and Position | Pamela Richardson (ADMINISTRATOR) |
| Authorized Official Contact | 3138055386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services, Rehab, Healthcare Provider, Counseling 2879 Heritage Oaks Cir Dacula GA 30019-7082 Ph: (313) 805-5386 | Behavioral Health Services, Rehab, Healthcare Provider, Counseling 2879 Heritage Oaks Cir Dacula GA 30019-7082 Ph: (313) 805-5386 |
| NPI Number | 1730862954 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730862954 | NPI | - | NPPES |
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