Organization
THE EPIPHANY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLE E SMITH M.S. (DIRECTOR)
(770) 760-8763
Entity
Organization
Contact information
Practice address
1791 WALKER RD SW, CONYERS, GA 30094-3126
(770) 760-8763
(770) 760-8765
Mailing address
1791 WALKER RD SW, CONYERS, GA 30094-3126
(770) 760-8763
(770) 760-8765
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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