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Organization
EAST COBB THERAPY CENTER LLC
Active
Organization
EAST COBB THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIRA OSEROFF LCSW (ORGANIZER/PARTNER)
(770) 592-0566
Entity
Organization
Contact information
Practice address
3855 SHALLOWFORD RD STE 420, MARIETTA, GA 30062-4197
(770) 592-0566
Mailing address
3855 SHALLOWFORD RD STE 420, MARIETTA, GA 30062-4197
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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