Organization
ABIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAILEY SISK ROJAS LCSW (OWNER)
(404) 797-5586
Entity
Organization
Contact information
Practice address
1610 REYNOLDS ST, BRUNSWICK, GA 31520-6731
(404) 797-5586
Mailing address
139 ALTAMA CONNECTOR, 363, BRUNSWICK, GA 31525-1888
(404) 797-5586
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW005734
GA
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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