Organization
PROFAMILY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL DAVID LYON (DIRECTOR)
(706) 259-4961
Entity
Organization
Contact information
Practice address
2213 CLEVELAND HWY, DALTON, GA 30721-8152
(706) 259-4961
(706) 259-4102
Mailing address
PO BOX 1662, DALTON, GA 30722-1662
(706) 259-4961
(706) 259-4102
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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