Organization
MESEPP COMMUNITY, INC
Active
Other names
MESEPP Community Behavioral Health and Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH LONDON MS, LPC, MAC (CEO)
(404) 543-4497
Entity
Organization
Contact information
Practice address
825 EATONTON ST, MONTICELLO, GA 31064-1029
(404) 543-4497
Mailing address
825 EATONTON ST, MONTICELLO, GA 31064-1029
(404) 543-4497
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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