Organization
MANNA SCHOLARSHIP FUND INC
Active
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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