Organization
A FAMILY THING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR TAVERAS LMFT, CCS, CACII (CEO)
(229) 200-6524
Entity
Organization
Contact information
Practice address
106 MICHELE TER, WARNER ROBINS, GA 31088-3924
(229) 200-6524
Mailing address
106 MICHELE TER, WARNER ROBINS, GA 31088-3924
(229) 200-6524
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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