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Organization
BEYOND YOUR ORDINARY, INC.
Active
Organization
BEYOND YOUR ORDINARY, INC.
Active
Other names
Beyond Your Ordinary Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MYA CULLINS MS, MAT SPECIALIST (CEO)
(336) 268-6469
Entity
Organization
Contact information
Practice address
97 ATLANTA ST STE 100, MCDONOUGH, GA 30253-2192
(336) 268-6469
Mailing address
97 ATLANTA ST STE 100, MCDONOUGH, GA 30253-2192
(336) 268-6469
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/22/2020
Last updated
08/12/2020
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