Individual
AUGUSTINE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 ROYAL CREEK DR, ROSWELL, GA 30076
(678) 365-1355
Mailing address
427 ROYAL CREEK DR, ROSWELL, GA 30076-4104
(678) 365-1355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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