Organization
OUT OF THE WOODS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ADENIYI (OWNER)
(571) 447-2539
Entity
Organization
Contact information
Practice address
124 S MAIN ST, SUITE 2J, JONESBORO, GA 30236-3599
(571) 447-2539
Mailing address
124 S MAIN ST, SUITE 2J, JONESBORO, GA 30236-3599
(571) 447-2539
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC007860
GA
Other
Enumeration date
11/26/2016
Last updated
11/26/2016
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