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Organization

GEORGIA COMMUNITY-BASED LEARNING FOR AT-RISK YOUTH

Active
Other names
Georgia C.L.A.Y.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEPHEN VANDIVER MCGARITY M.S.W. (COMMUNITY DIRECTOR)
(706) 207-6181
Entity
Organization

Contact information

Practice address
425 BROOKWOOD DR, ATHENS, GA 30605-3809
(706) 207-6181
Mailing address
425 BROOKWOOD DR, ATHENS, GA 30605-3809

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
06/26/2011
Last updated
06/26/2011
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