Organization
GEORGIA MADISON COMMUNITY ALTERNATIVES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA BETTS (AGENT)
(336) 392-8775
Entity
Organization
Contact information
Practice address
4286 BELLS FERRY RD NW STE 202, KENNESAW, GA 30144-1302
(404) 309-0370
(866) 577-9894
Mailing address
PO BOX 13245, GREENSBORO, NC 27415-3245
(336) 392-8775
(866) 577-9894
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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