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Organization

OGCC BEHAVIORAL SERVICE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIONNE HUFFMAN M.ED. (EXECUTIVE DIRECTOR)
(404) 691-3270
Entity
Organization

Contact information

Practice address
1035 RESEARCH CENTER ATLANTA DR SW, SUITE B, ATLANTA, GA 30331-2035
(404) 691-3270
Mailing address
1035 RESEARCH CENTER ATLANTA DR SW, SUITE B, ATLANTA, GA 30331-2035
(404) 691-3270

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
731363425A
GA
05
979418669A
GA
Enumeration date
07/05/2007
Last updated
03/07/2011
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