Organization
POINCIANA RECOVERY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDRICK ALLEN LPC (OFFICER)
(404) 966-3557
Entity
Organization
Contact information
Practice address
1301 SHILOH RD NW, SUITE 1531B, KENNESAW, GA 30144-7147
(404) 966-3557
Mailing address
1301 SHILOH RD NW, SUITE 1531B, KENNESAW, GA 30144-7147
(404) 966-3557
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
GA
Other
Enumeration date
07/26/2015
Last updated
07/26/2015
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