Organization
BEPROACTIVE FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RJ LEWIS M.A. (EXECUTIVE DIRECTOR)
(770) 319-7468
Entity
Organization
Contact information
Practice address
1830 WATER PL SE, STE #220, ATLANTA, GA 30339-7407
(770) 319-7468
(866) 416-1767
Mailing address
1830 WATER PL SE, STE #220, ATLANTA, GA 30339-7407
(770) 319-7468
(866) 416-1767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
251V00000X
Voluntary or Charitable Agency
—
GA
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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