Organization
CHILD NEURO HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA POWELL (BILLING COORDINATOR)
(706) 421-9262
Entity
Organization
Contact information
Practice address
307 BASTON ROAD, MARTINEZ, GA 30907
(706) 421-9262
(706) 447-8701
Mailing address
307 BASTON RD, MARTINEZ, GA 30907
(706) 421-9262
(706) 447-8701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PS-P000238
GA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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