Organization
MAC FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEE R BROWN (EXECUTIVE DIRECTOR)
(770) 979-6000
Entity
Organization
Contact information
Practice address
2336 WISTERIA DR, 230, SNELLVILLE, GA 30078-6191
(770) 979-6000
(877) 872-1932
Mailing address
PO BOX 734, GRAYSON, GA 30017-0013
(404) 955-0875
(877) 872-1932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006296
GA
Other
Enumeration date
05/25/2012
Last updated
06/13/2014
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