Organization
BEYOND YOUR ORDINARY, INC.
Active
Other names
Beyond Your Ordinary Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MYA CULLINS MS, MAT SPECIALIST (CEO)
(336) 268-6469
Entity
Organization
Contact information
Practice address
97 ATLANTA ST STE 100, MCDONOUGH, GA 30253-2192
(336) 268-6469
Mailing address
97 ATLANTA ST STE 100, MCDONOUGH, GA 30253-2192
(336) 268-6469
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
08/12/2020
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