Organization
JODE COUNSELING TREATMENT AND TRAINING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTOREY BOWENS (OWNER)
(770) 847-6445
Entity
Organization
Contact information
Practice address
8305 OFFICE PARK DR, STE 8303B, DOUGLASVILLE, GA 30134-6935
(770) 847-6445
Mailing address
8305 OFFICE PARK DR, STE 8303B, DOUGLASVILLE, GA 30134-6935
(770) 847-6445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/30/2014
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