Organization
EXTRAORDINARY BEHAVIORAL SERVICES
Active
Organization
EXTRAORDINARY BEHAVIORAL SERVICES
Active
Other names
EBS Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TORI HATTER SMITH CADC (OWNER)
(678) 221-8494
Entity
Organization
Contact information
Practice address
235 E PONCE DE LEON AVE, DECATUR, GA 30030-3452
(678) 221-8494
(832) 383-9718
Mailing address
500 MOUNTAINBROOKE CIR, STONE MOUNTAIN, GA 30087-2853
(678) 221-8494
(832) 383-9718
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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