# FREEMANS EARLY INTERVENTION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295347888
- **Authorized official:** IEISHA ALZANAM (RBT / OWNER)
- **Authorized official phone:** (770) 375-0959

## Contact information

- **Practice address:** 13 PEACH ST, BUTLER, GA 31006
- **Practice address phone:** (770) 375-0959
- **Mailing address:** 106 PLANTATION DR, BUTLER, GA 31006-5503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2020
- **Last updated:** 08/17/2020
