Organization
WHEN I WAS A CHILD CORP
Active
Organization
WHEN I WAS A CHILD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA EZZARD (EXECUTIVE DIRCTOR)
(678) 910-6888
Entity
Organization
Contact information
Practice address
6235 PROVIDENCE CLUB DR, MABLETON, GA 30126-7223
(678) 910-6888
Mailing address
388 BULLSBORO DR, NEWNAN, GA 30263-1069
(678) 910-6888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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