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Organization

FULTON COUNTY MENTAL HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERNEST EGLEN III LCSW (THERAPIST)
(404) 691-9627
Entity
Organization

Contact information

Practice address
475 FAIRBURN RD SW, ATLANTA, GA 30331-1907
(404) 691-9627
(404) 691-9793
Mailing address
475 FAIRBURN RD SW, ATLANTA, GA 30331-1907
(404) 691-9627
(404) 691-9793

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW003136
GA

Other

Enumeration date
02/07/2007
Last updated
08/22/2020
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