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Organization
REBIRTH COUNSELING AND TRAINING CENTER
Active
Organization
REBIRTH COUNSELING AND TRAINING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN HARPE WALLER EDS. (EXECUTIVE DIRECTOR)
(404) 867-3093
Entity
Organization
Contact information
Practice address
3120 S MARTIN ST STE 100, EAST POINT, GA 30344-4396
(678) 705-5698
Mailing address
3120 S MARTIN ST STE 100, EAST POINT, GA 30344-4396
(404) 867-3093
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
01/10/2012
Last updated
03/05/2024
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