Organization
NPTC OF GBCH&FM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA JONES (PROGRAM COORDINATOR)
(770) 514-8255
Entity
Organization
Contact information
Practice address
729 LAWRENCE ST NE, MARIETTA, GA 30060-2143
(770) 514-8255
(770) 514-1747
Mailing address
729 LAWRENCE ST NE, MARIETTA, GA 30060-2143
(770) 514-8255
(770) 514-1747
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
00041071
GA
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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