Organization
ABSOLUTE ANGEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE PRICE (OWNER/MANAGER)
(478) 595-4479
Entity
Organization
Contact information
Practice address
504MAE'S LN, EAST DUBLIN, GA 31027
(478) 595-4479
Mailing address
504 MAES LN, EAST DUBLIN, GA 31027-3362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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