Organization
CENTER FOR SAFE YOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY DEGNEN BSA, LPI (MANAGER)
(706) 613-9007
Entity
Organization
Contact information
Practice address
595 SANDSTONE DR, ATHENS, GA 30605-3437
(706) 613-9007
Mailing address
PO BOX 81786, ATHENS, GA 30608-1786
(706) 613-9007
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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