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Organization
RECOVERY LGBT INC.
Active
Organization
RECOVERY LGBT INC.
Active
Other names
Dog House ATL GLBT Recovery Inc
Organization subpart
No
Provider details
NPI number
Authorized official
J.D. WEIDNER (CEO)
(404) 769-1118
Entity
Organization
Contact information
Practice address
3011 RAINBOW DR STE 308, DECATUR, GA 30034-1681
(404) 769-1118
Mailing address
3011 RAINBOW DR STE 308, DECATUR, GA 30034-1681
(404) 769-1118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009051
GA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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