Organization
IDEAL MINDS BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY OPARA (CEO/AUTHORIZED OFFICIAL)
(678) 974-0342
Entity
Organization
Contact information
Practice address
2090 LAWRENCEVILLE SUWANEE RD # 747, SUWANEE, GA 30024-2600
(678) 974-0342
Mailing address
2090 LAWRENCEVILLE SUWANEE RD # 747, SUWANEE, GA 30024-2600
(678) 974-0342
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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