Organization
NOELA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSON (BUSINESS MANAGER)
(770) 401-2194
Entity
Organization
Contact information
Practice address
708 PARC RIVER BLVD, LAWRENCEVILLE, GA 30046-4019
(770) 401-2194
Mailing address
708 PARC RIVER BLVD, LAWRENCEVILLE, GA 30046-4019
(770) 401-2194
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434613852A
—
GA
Enumeration date
12/07/2010
Last updated
12/07/2010
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