Organization
GA INTEGRATED THERAPEUTIC PERSPECTIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEJUIANA JOHNSON MA, APC, CAMS (MEMBER)
(678) 664-4003
Entity
Organization
Contact information
Practice address
407 N MAIN ST, HINESVILLE, GA 31313-2509
(678) 664-4003
Mailing address
PO BOX 1417, HINESVILLE, GA 31310-8417
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
004421
GA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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