| The Transformation Center | |
|
416 Hampton Xing Norcross GA 30093-4060 | |
| (713) 906-1350 | |
| Not Available |
| Full Name | The Transformation Center |
|---|---|
| Speciality | Case Management |
| Location | 416 Hampton Xing, Norcross, Georgia |
| Authorized Official Name and Position | John D Wallace (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7139061350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Transformation Center 416 Hampton Xing Norcross GA 30093-4060 Ph: (713) 906-1350 | The Transformation Center 416 Hampton Xing Norcross GA 30093-4060 Ph: (713) 906-1350 |
| NPI Number | 1447704804 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447704804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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