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Organization
CW EDUCATIONAL AND BEHAVIORAL
Active
Organization
CW EDUCATIONAL AND BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENTIA PAUL-CONSTANTIN PHD (DIRECTOR)
(678) 613-1242
Entity
Organization
Contact information
Practice address
7163 NADIR HOMES, ST THOMAS, VI 00802-1525
(678) 613-1242
Mailing address
2867 COUNTRY HOUSE LN, BUFORD, GA 30519-7647
(678) 613-1242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005918
GA
251300000X
Local Education Agency (LEA)
444521
GA
251S00000X
Community/Behavioral Health Agency
APC0005918
GA
252Y00000X
Early Intervention Provider Agency
444521
GA
261QD1600X
Developmental Disabilities Clinic/Center
444521
GA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
APC0005918
GA
261QM0850X
Adult Mental Health Clinic/Center
APC0005918
GA
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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