Organization
AFFILIATED BEHAVIORAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MICHELE JOHNSON MD (AFFILIATED BEHAVIORAL MEDICAL OWNER)
(404) 784-2782
Entity
Organization
Contact information
Practice address
1014 MAIN ST, STONE MOUNTAIN, GA 30083-2944
(404) 784-2782
Mailing address
1014 MAIN ST, STONE MOUNTAIN, GA 30083-2944
(404) 784-2782
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
SMC2007-021
GA
Other
Enumeration date
04/12/2008
Last updated
07/11/2008
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