Organization
PEACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN COLEY LCSW (DIRECTOR)
(478) 827-3224
Entity
Organization
Contact information
Practice address
118 W CHURCH ST, FORT VALLEY, GA 31030-3700
(478) 827-3224
Mailing address
118 W CHURCH ST, FORT VALLEY, GA 31030-3700
(478) 827-3224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
03/29/2021
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