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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