Organization
MANNA SCHOLARSHIP FUND INC
Active
Other names
Manna Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GENE BURNETT PSYD (DIRECTOR)
(770) 495-9775
Entity
Organization
Contact information
Practice address
3305 BRECKINRIDGE BLVD STE 116, DULUTH, GA 30096-4932
(770) 495-9775
(770) 495-9745
Mailing address
3305 BRECKINRIDGE BLVD STE 116, DULUTH, GA 30096-4932
(770) 495-9775
(770) 495-9745
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/13/2015
Last updated
03/28/2022
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