Organization
CONCEPT 180 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT MALOWRY JONES JR. (CCO)
(404) 202-4722
Entity
Organization
Contact information
Practice address
17 FELTON PL STE A, CARTERSVILLE, GA 30120-2153
(404) 202-4722
Mailing address
17 FELTON PL STE A, CARTERSVILLE, GA 30120-2153
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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