| New Generation Autistic And Behavioral Center Llc | |
|
165 Autumn Moon Trl Fayetteville GA 30215-5091 | |
| (770) 716-2162 | |
| Not Available |
| Full Name | New Generation Autistic And Behavioral Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 165 Autumn Moon Trl, Fayetteville, Georgia |
| Authorized Official Name and Position | Frank Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6788955818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Generation Autistic And Behavioral Center Llc 805 Glynn St S Ste 127-225 Fayetteville GA 30214-2000 Ph: () - | New Generation Autistic And Behavioral Center Llc 165 Autumn Moon Trl Fayetteville GA 30215-5091 Ph: (770) 716-2162 |
| NPI Number | 1801724661 |
|---|---|
| Provider Enumeration Date | 05/12/2026 |
| Last Update Date | 05/12/2026 |
| Certification Date | 05/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801724661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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