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Organization

BURNING BUSH YOUTH & FAMILY INTERVENTION CENTER, INC.

Active
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Organization

BURNING BUSH YOUTH & FAMILY INTERVENTION CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD TINSLEY (EXECUTIVE DIRECTOR)
(678) 774-8230
Entity
Organization

Contact information

Practice address
144 BROOKWOOD AVE, JACKSON, GA 30233-1403
(678) 774-8230
(678) 774-8233
Mailing address
144 BROOKWOOD AVE, JACKSON, GA 30233-1403

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL

Other

Enumeration date
03/25/2013
Last updated
03/25/2013
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