| North Pines Center Inc | |
|
3355 Medlock Bridge Rd Norcross GA 30092-3009 | |
| (770) 449-1111 | |
| (770) 449-8113 |
| Full Name | North Pines Center Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3355 Medlock Bridge Rd, Norcross, Georgia |
| Authorized Official Name and Position | Ken Scroggs (PRESIDENT, CEO) |
| Authorized Official Contact | 7704491111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Pines Center Inc 3355 Medlock Bridge Rd Norcross GA 30092-3009 Ph: (770) 449-1111 | North Pines Center Inc 3355 Medlock Bridge Rd Norcross GA 30092-3009 Ph: (770) 449-1111 |
| NPI Number | 1144599002 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144599002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CSW000675 (Georgia) | Primary |
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