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Organization

CREW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS AGEE (OWNER)
(480) 843-4778
Entity
Organization

Contact information

Practice address
740 WALKINGSTICK DR, DOUGLASVILLE, GA 30134-4276
(480) 843-4778
Mailing address
740 WALKINGSTICK DR, DOUGLASVILLE, GA 30134-4276

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/30/2025
Last updated
06/30/2025
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