| Safeway Behavioral Health - Southeast, P.c. | |
|
1101 Bombay Ln Roswell GA 30076-5832 | |
| (678) 349-2128 | |
| (404) 393-0138 |
| Full Name | Safeway Behavioral Health - Southeast, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1101 Bombay Ln, Roswell, Georgia |
| Authorized Official Name and Position | Josefina Bates (OWNER) |
| Authorized Official Contact | 6783492128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safeway Behavioral Health - Southeast, P.c. 1101 Bombay Ln Roswell GA 30076-5832 Ph: (678) 349-2128 | Safeway Behavioral Health - Southeast, P.c. 1101 Bombay Ln Roswell GA 30076-5832 Ph: (678) 349-2128 |
| NPI Number | 1043028962 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043028962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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