Organization
PRIMECARE ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB FLOURNOY (CEO)
(478) 345-0523
Entity
Organization
Contact information
Practice address
1735 IRWINTON RD STE 3A, MILLEDGEVILLE, GA 31061-3830
(470) 788-0348
Mailing address
50 HURT PLZ SE STE 3A, ATLANTA, GA 30303-2946
(478) 788-0348
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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