Organization
DEVELOPING MINDS TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON M MCCASKILL (DIRECTOR)
(478) 808-1165
Entity
Organization
Contact information
Practice address
1760 BASS RD, SUITE 101, MACON, GA 31210-1061
(478) 238-4774
(866) 941-7527
Mailing address
PO BOX 369, BOLINGBROKE, GA 31004-0369
(478) 238-4774
(866) 941-7527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
05/22/2016
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