Organization
AWAY OUT, INC.
Active
Organization
AWAY OUT, INC.
Active
Parent organization
AWAY OUT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AWAY OUT, INC.
Authorized official
MR. EDDIE D POWELL LPC (CEO)
(706) 653-0068
Entity
Organization
Contact information
Practice address
416 12TH ST STE 202, COLUMBUS, GA 31901-2558
(706) 653-0068
Mailing address
416 12TH STREET SUITE 202, COLUMBUS, GA 31901
(706) 653-0068
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LPC2759
GA
251S00000X
Community/Behavioral Health Agency
Primary
LPC2759
GA
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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