Organization
INTEGRATED CARE RESOURCES OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA YVONNE WRIGHT MBA, LCSW (CEO)
(770) 875-5504
Entity
Organization
Contact information
Practice address
2011 COMMERCE DR N, PEACHTREE CITY, GA 30269-3538
(470) 483-6929
(866) 260-5504
Mailing address
7794 FLYAWAY RD, FAIRBURN, GA 30213-3511
(770) 875-5504
(866) 260-5504
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/02/2018
Last updated
12/12/2019
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