Organization
NEW CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA BOWERS BS, MSW (EXECUTIVE DIRECTOR/CEO)
(770) 756-9582
Entity
Organization
Contact information
Practice address
9571 S MAIN ST, JONESBORO, GA 30236-6085
(770) 756-9582
(770) 756-9367
Mailing address
9571 S MAIN ST, JONESBORO, GA 30236-6085
(770) 756-9582
(770) 756-9367
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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