Organization
NURSE EDUCATION DEVELPMENT CENTERS LLC
Active
Other names
Providian Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINA STELLETTE HALL RN, MSN, MBA (CEO)
(678) 491-7870
Entity
Organization
Contact information
Practice address
3710 PREAKNESS DR, DECATUR, GA 30034-3342
(678) 372-8494
Mailing address
3710 PREAKNESS DR, DECATUR, GA 30034-3342
(678) 372-8494
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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