Individual
SAAJIDAH HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 ALABAMA STREET ( BOX 731, DARIEN, GA 31305
(912) 223-8749
Mailing address
PO BOX 731, DARIEN, GA 31305-0731
(912) 223-8749
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
GA
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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