Organization
GEORGIA INTEGRATED BEHAVIORAL HEALTHCARE
Active
Other names
Georgia Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BOULAI NURSE (CEO)
(678) 477-3476
Entity
Organization
Contact information
Practice address
525 MICA TRCE, ATLANTA, GA 30349-8479
(678) 477-3476
(770) 991-4803
Mailing address
1075 ZONOLITE RD NE, SUITE 1A, ATLANTA, GA 30306-2013
(678) 477-3476
(770) 991-4803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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