Organization
J CARGILE LLC
Active
Other names
Harbor of Dreams Art
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W CARGILE JR. (OWNER)
(404) 626-8941
Entity
Organization
Contact information
Practice address
3550 CLARKSTON INDUSTRIAL BLVD STE A, CLARKSTON, GA 30021-1331
(404) 626-8941
Mailing address
975 ROGERS ST, CLARKSTON, GA 30021-2241
(404) 626-8941
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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