Organization
RENAISSANCE COUNSELING SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. QUINCY PRESTON-CLARK (CEO)
(770) 256-0421
Entity
Organization
Contact information
Practice address
691 E. COLLEGE AVE., DECATUR, GA 30031
(770) 256-0421
Mailing address
PO BOX 551, DECATUR, GA 30031-0551
(770) 256-0421
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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