Organization
GEORGIA YOUTH NETWORK INC
Active
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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