Organization
BDT TREATMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE L. TIGGS LMSW (CEO)
(770) 679-5568
Entity
Organization
Contact information
Practice address
568 MEDALIST WAY SE, CONYERS, GA 30094-4181
(770) 679-5568
Mailing address
568 MEDALIST WAY SE, CONYERS, GA 30094-4181
(770) 679-5568
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
MSW004363
GA
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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