Organization
HORSE TIME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN FRANCES VIDRINE DIRECTOR (DIRECTOR)
77078497777
Entity
Organization
Contact information
Practice address
10385 HIGHWAY 278 EAST, COVINGTON, GA 30014
(770) 784-9777
Mailing address
40 880 BETHEL CHURCH ROAD, MONROE, GA 30655
(770) 784-9777
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
09/17/2009
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