Organization
ATLANTA DIALECTICAL BEHAVIOR THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINAL P SHAH MS, NCC, LPC (CLINICAL DIRECTOR)
(770) 833-0227
Entity
Organization
Contact information
Practice address
2150 PEACHFORD RD STE A, ATLANTA, GA 30338-6521
(770) 833-0227
Mailing address
2150 PEACHFORD RD STE A, ATLANTA, GA 30338-6521
(770) 833-0227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
03688
GA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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