Organization
WAYPOINT RANCH CLC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY S CIRASA (PRESIDENT)
(678) 459-7825
Entity
Organization
Contact information
Practice address
195 LITTLE RIVER RD, CARROLLTON, GA 30117-7695
(678) 459-7825
Mailing address
195 LITTLE RIVER RD, CARROLLTON, GA 30117-7695
(678) 459-7825
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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