Organization
BETTERSELF COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGONEH BULLARD LCSW (OWNER)
(401) 263-6467
Entity
Organization
Contact information
Practice address
6268 OAKDALE RD SE, MABLETON, GA 30126-2836
(401) 263-6467
Mailing address
1812 EVADALE CT, MABLETON, GA 30126-5741
(401) 263-6467
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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