Organization
GREENLEE BEHAVIORAL HEALTH SERVICES, LLC.
Active
Organization
GREENLEE BEHAVIORAL HEALTH SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY LASHA WIGGINS M.ED. (OWNER/CEO)
(404) 298-1230
Entity
Organization
Contact information
Practice address
778 RAYS RD, SUITE 102, STONE MOUNTAIN, GA 30083-3107
(404) 298-1230
Mailing address
778 RAYS RD, SUITE 102, STONE MOUNTAIN, GA 30083-3107
(404) 298-1230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
453088947A
GA
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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