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Organization

A PLACE OF SERENITY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA ANN CLARK-BECKFORD (DDP/ADMIN.)
(770) 865-1003
Entity
Organization

Contact information

Practice address
3755 CHERIE GLEN RD, SNELLVILLE, GA 30039-4311
(770) 978-9501
(770) 982-4665
Mailing address
3755 CHERIE GLEN RD, SNELLVILLE, GA 30039-4311
(470) 545-3682
(770) 972-3989

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
067-01-434-1
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174304890A
GA
Enumeration date
10/03/2010
Last updated
03/30/2018
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