Organization
MINDFUL LIVING CENTER - GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK TOLONEN (VP)
(323) 419-3869
Entity
Organization
Contact information
Practice address
1720 LEXINGTON RD, ATHENS, GA 30605-2330
(323) 419-3869
Mailing address
900 PACIFIC COAST HWY APT 105, HUNTINGTON BEACH, CA 92648-4859
(323) 419-3869
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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