Organization
SUZIE CRUTCHFIELDHH
Active
Parent organization
ABHS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABHS
Authorized official
GLENN BUTLER (BILLING MGR)
(706) 389-6789
Entity
Organization
Contact information
Practice address
1691 BOWDEN POND RD, GREENSBORO, GA 30642-2904
(706) 453-4129
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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