Organization
GRN COMMUNITY SERVICE BOARD
Active
Organization
GRN COMMUNITY SERVICE BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL HADEN RAPER M.ED., M.S. (CSI COUNSELOR)
(770) 638-5760
Entity
Organization
Contact information
Practice address
5030 GEORGIA BELLE CT, STE 2036, NORCROSS, GA 30093-2667
(770) 638-5760
(770) 638-5789
Mailing address
3432 WATER VISTAS PKWY, APT. B, LAWRENCEVILLE, GA 30044-3070
(770) 381-5498
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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