Organization
GOOD GROUND DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADFORD FARMER (CFO)
(678) 458-3660
Entity
Organization
Contact information
Practice address
692 BEECHWOOD CT, JONESBORO, GA 30238-7904
(678) 457-5461
(678) 610-9577
Mailing address
692 BEECHWOOD CT, JONESBORO, GA 30238-7904
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC003793
GA
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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