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Organization

OCEANS GATE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEVON JOHNSON (OWNER)
(404) 220-9263
Entity
Organization

Contact information

Practice address
1075 PEACHTREE ST NE, SUITE 3650, ATLANTA, GA 30309-3912
(404) 220-9263
Mailing address
PO BOX 54632, ATLANTA, GA 30308-0632
(404) 220-9263

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/18/2017
Last updated
03/18/2017
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