Organization
CHOCOLATE HEALING ARTS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA PURCELL L.P.C. (C.E.O.)
(770) 532-3178
Entity
Organization
Contact information
Practice address
4006 MUNDY MILL RD, OAKWOOD, GA 30566-2807
(770) 532-3178
Mailing address
PO BOX 6842, GAINESVILLE, GA 30504-1088
(770) 532-3178
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC004338
GA
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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