Organization
TEEN DREAMS INCORPORATED
Active
Other names
Teen Dreams
Organization subpart
No
Provider details
NPI number
Authorized official
ALEEKA MICHELLE MOODY (FOUNDER/CEO)
(803) 341-5210
Entity
Organization
Contact information
Practice address
716 BROAD ST, AUGUSTA, GA 30901-5003
(803) 624-3806
Mailing address
436 EDISTO DR, BELVEDERE, SC 29841-2726
(803) 624-3806
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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