Organization
BETHANY CHRISTIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN RENFROE (LCSW)
(770) 274-3462
Entity
Organization
Contact information
Practice address
6645 PEACHTREE DUNWOODY RD NE, ATLANTA, GA 30328-1606
(770) 455-7111
(770) 455-7118
Mailing address
6645 PEACHTREE DUNWOODY RD NE, ATLANTA, GA 30328-1606
(770) 455-7111
(770) 455-7118
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
CSW003659
GA
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134899091A
—
GA
Enumeration date
07/13/2009
Last updated
07/13/2009
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