Organization
MARIBILL BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM THOMAS PH.D., ICADC (CEO/PRESIDENT)
(770) 891-2170
Entity
Organization
Contact information
Practice address
2385 WALL ST SE, CONYERS, GA 30013-2187
(770) 891-2170
Mailing address
2385 WALL ST SE, CONYERS, GA 30013-2187
(770) 891-2170
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10018261
GA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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