Organization
3SIXTEEN
Active
Organization
3SIXTEEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEQUINTA RIGGSBEE (CONSULTANT)
(678) 525-0277
Entity
Organization
Contact information
Practice address
2575 HIDDEN WOOD LN, LAWRENCEVILLE, GA 30043-6813
(678) 271-8077
Mailing address
2575 HIDDEN WOOD LN, LAWRENCEVILLE, GA 30043-6813
(678) 271-8077
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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