Organization
BRANDON OWENS MANAGEMENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON L OWENS (OWNER)
(678) 856-7172
Entity
Organization
Contact information
Practice address
3075 SYLVAN RD STE G, ATLANTA, GA 30354-1019
(678) 856-7172
Mailing address
3075 SYLVAN RD, ATLANTA, GA 30354-1019
(678) 856-7172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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