Organization
YOUTH GENERATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA LARAE BESLEY (OWNER)
(678) 571-8131
Entity
Organization
Contact information
Practice address
525 SUNNYHILL DR, JONESBORO, GA 30238-4862
(678) 571-8131
Mailing address
525 SUNNYHILL DR, JONESBORO, GA 30238-4862
(678) 571-8131
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
GA
251S00000X
Community/Behavioral Health Agency
—
GA
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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