Organization
EAGLE RANCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WATTS CPA (CFO)
(770) 967-8500
Entity
Organization
Contact information
Practice address
5500 UNION CHURCH RD, FLOWERY BRANCH, GA 30542-5216
(770) 967-8500
Mailing address
PO BOX 7200, CHESTNUT MOUNTAIN, GA 30502-0050
(770) 967-8500
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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