Organization
POSITIVE GROWTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY R VEIRA LCSW (CLINICAL PROGRAM DIRECTOR)
(404) 298-9005
Entity
Organization
Contact information
Practice address
3660 MARKET ST, CLARKSTON, GA 30021-1246
(404) 298-9005
(404) 298-0046
Mailing address
3660 MARKET ST, CLARKSTON, GA 30021-1246
(404) 298-9005
(404) 298-0046
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
582299589
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276791400A
—
GA
Enumeration date
08/03/2011
Last updated
08/03/2011
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