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Organization

FREDS HOUSE

Active
Parent organization
ABHS
Organization subpart
Yes

Provider details

NPI number
Legal business name
ABHS
Authorized official
GLENN BUTLER (BILLING MGR)
(706) 389-6789
Entity
Organization

Contact information

Practice address
517 WATSON MILL RD, COMER, GA 30629-6124
(706) 207-0894
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6789

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
01/13/2012
Last updated
01/13/2012
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