A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
taxonomy 251S00000X
Identifiers
Type
Value
Notes
05 (GA)
000604194U
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Old Brent Road
Type code 5recorded 2019-01-30
Old Brent Road
Type code 5recorded 2006-12-08
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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