Organization
ANTIOCH CHRISTIAN CENTER, INC
Active
Organization
ANTIOCH CHRISTIAN CENTER, INC
Active
Other names
Behavioral Health Services, Rehab, Healthcare Provider, Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RICHARDSON (ADMINISTRATOR)
(313) 805-5386
Entity
Organization
Contact information
Practice address
2879 HERITAGE OAKS CIR, DACULA, GA 30019-7082
(313) 805-5386
Mailing address
2879 HERITAGE OAKS CIR, DACULA, GA 30019-7082
(313) 805-5386
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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