Organization
CLOSER TO EDEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE BRYAN (CEO)
(732) 331-4372
Entity
Organization
Contact information
Practice address
1936 CORNERSTONE PASS, CONYERS, GA 30012-3788
(732) 331-4372
Mailing address
1936 CORNERSTONE PASS, CONYERS, GA 30012-3788
(678) 825-5019
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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