Organization
RELIANCE4CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELEAH BROWN LPC CRC (EXECUTIVE DIRECTOR)
(562) 673-8844
Entity
Organization
Contact information
Practice address
999 LINAM AVE SE, ATLANTA, GA 30315-1818
(678) 667-0624
Mailing address
999 LINAM AVE SE, ATLANTA, GA 30315-1818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC008083
GA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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