Organization
THE TRANSFORMATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WALLACE PSY.D (EXECUTIVE DIRECTOR)
(713) 906-1350
Entity
Organization
Contact information
Practice address
416 HAMPTON XING, NORCROSS, GA 30093-4060
(713) 906-1350
Mailing address
416 HAMPTON XING, NORCROSS, GA 30093-4060
(713) 906-1350
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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