Organization
BEYOND AUTISM SUPPORT CORNER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATUM WHALEY (CEO470890)
(470) 890-9566
Entity
Organization
Contact information
Practice address
7974 N MAIN ST, JONESBORO, GA 30236-2272
(470) 890-9566
Mailing address
7974 N MAIN ST, JONESBORO, GA 30236-2272
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
06/10/2024
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