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Organization

THE SOUTHERN CENTER OF HOPE AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATIKA BROOKS (BUSINESS MANAGER)
(706) 288-7735
Entity
Organization

Contact information

Practice address
4210 COLUMBIA RD STE 5A, COLUMBIA PROFESSIONAL CENTER, MARTINEZ, GA 30907-0453
(706) 288-7735
Mailing address
4210 COLUMBIA RD STE 5A, COLUMBIA PROFESSIONAL CENTER, MARTINEZ, GA 30907-0453

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
12/14/2013
Last updated
12/14/2013
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