Organization
SAFEWAY BEHAVIORAL HEALTH - SOUTHEAST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEFINA BATES LCSW (OWNER)
(678) 349-2128
Entity
Organization
Contact information
Practice address
1101 BOMBAY LN, ROSWELL, GA 30076-5832
(678) 349-2128
(404) 393-0138
Mailing address
1101 BOMBAY LN, ROSWELL, GA 30076-5832
(678) 349-2128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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