Organization
BUSINESS & TECHNOLOGY OUTREACH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA FITZGERALD (CEO/PRESIDENT)
(404) 608-1101
Entity
Organization
Contact information
Practice address
5386 JONESBORO RD, MORROW, GA 30260-3557
(404) 608-1101
(404) 608-1110
Mailing address
5386 JONESBORO RD, LAKE CITY, GA 30260-3557
(404) 608-1101
(404) 608-1110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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