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Organization

INTEGRATED CARE RESOURCES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MIA YVONNE WRIGHT MBA. LCSW (CEO)
(770) 875-5504
Entity
Organization

Contact information

Practice address
2011 COMMERCE DR N, PEACHTREE CITY, GA 30269-3538
(470) 483-6929
(866) 260-5504
Mailing address
7794 FLYAWAY RD, FAIRBURN, GA 30213-3511
(770) 875-5504
(866) 260-5504

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
08/29/2018
Last updated
12/12/2019
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