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Organization

EBERTHS BEHAVIORAL GROUP II LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN E DELGADO (PRESIDENT)
(770) 814-4127
Entity
Organization

Contact information

Practice address
11340 LAKEFIELD DRIVE, STE 200/276, JOHN CREEK, GA 30097
(770) 814-4127
Mailing address
11340 LAKEFIELD DRIVE, STE 200/276, JOHN CREEK, GA 30097
(770) 814-4127

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
11/12/2021
Last updated
01/22/2022
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