Organization
SOARING EAGLE CHILDREN'S GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARION OTIS FARMER (PRESIDENT)
(770) 314-3201
Entity
Organization
Contact information
Practice address
3183 NORTHBROOK DR, ATLANTA, GA 30341-4629
(770) 314-3201
(770) 818-5512
Mailing address
3183 NORTHBROOK DR, ATLANTA, GA 30341-4629
(770) 314-3201
(770) 818-5512
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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