Organization
RISING TIDE BEHAVIORAL INTERVENTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEE HARPER WOOD BCBA (PRESIDENT)
(706) 925-7811
Entity
Organization
Contact information
Practice address
305 HABERSHAM RD, MARTINEZ, GA 30907-9073
(706) 925-7811
Mailing address
305 HABERSHAM RD, MARTINEZ, GA 30907-9073
(706) 925-7811
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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