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Organization
THE POTTER'S HOUSE FAMILY AND CHILDREN TREATMENT CENTER
Active
Organization
THE POTTER'S HOUSE FAMILY AND CHILDREN TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SNOWDEN JR. (CREDENTIALING SUPERVISOR)
(763) 330-4955
Entity
Organization
Contact information
Practice address
2300 W. PARK PLACE BLVD., STE. 128, 135, 138, STONE MOUNTAIN, GA 30087-3561
(678) 330-4000
Mailing address
242 S. WASHINGTON BLVD., PMB#177, SARASOTA, FL 34236-6943
(678) 330-1400
(678) 330-1405
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/16/2007
Last updated
10/12/2026
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