Organization
CAMPBELL TRAIL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MILLER (OWNER)
(770) 256-5238
Entity
Organization
Contact information
Practice address
430 SIR WINSTON CT, JONESBORO, GA 30238-4561
(770) 256-5238
Mailing address
430 SIR WINSTON CT, JONESBORO, GA 30238-4561
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/17/2024
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