Organization
THE EPITOME, LLC
Active
Organization
THE EPITOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE DAVIS (CEO)
(404) 645-6551
Entity
Organization
Contact information
Practice address
1626 VIRGINIA AVE, G, ATLANTA, GA 30337-2857
(404) 645-6551
Mailing address
2100 LIBERTY HTS, FAIRBURN, GA 30213-4413
(404) 645-6551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC006241
GA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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