Organization
GEORGIA YOUTH NETWORK INC
Active
Other names
Georgia Family Therapy Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANINE PORTER (EXECUTIVE DIRECTOR)
(770) 344-8704
Entity
Organization
Contact information
Practice address
925 MAIN ST, SUITE 104, STONE MOUNTAIN, GA 30083-3098
(770) 344-8704
(770) 216-1723
Mailing address
PO BOX 82322, CONYERS, GA 30013-9434
(770) 344-8704
(770) 216-1723
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NONE
GA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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