Organization
FREEMANS EARLY INTERVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IEISHA ALZANAM (RBT / OWNER)
(770) 375-0959
Entity
Organization
Contact information
Practice address
13 PEACH ST, BUTLER, GA 31006
(770) 375-0959
Mailing address
106 PLANTATION DR, BUTLER, GA 31006-5503
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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