Organization
AWFM LTD COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL WHITE (OWNER/GENERAL MANAGER)
(770) 686-7617
Entity
Organization
Contact information
Practice address
1650 N ROBERTS RD NW, KENNESAW, GA 30144-3634
(305) 859-1727
Mailing address
2929 OLD POST RD UNIT 911, WINSTON, GA 30187-2436
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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