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Organization
CHILD NEURO HEALTH AND WELLNESS CENTER
Active
Organization
CHILD NEURO HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA POWELL (BILLING COORDINATOR)
(706) 421-9262
Entity
Organization
Contact information
Practice address
307 BASTON ROAD, MARTINEZ, GA 30907
(706) 421-9262
(706) 447-8701
Mailing address
307 BASTON RD, MARTINEZ, GA 30907
(706) 421-9262
(706) 447-8701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PS-P000238
GA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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