Organization
PROJECT REAL LIFE YOUTH OCCUPATIONAL TRAINING CORPS, INC.
Active
Organization
PROJECT REAL LIFE YOUTH OCCUPATIONAL TRAINING CORPS, INC.
Active
Other names
Project Real Life
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE R. ECHOLS (OFFICE MANAGER)
(678) 755-1730
Entity
Organization
Contact information
Practice address
6805 TARA BLVD, JONESBORO, GA 30236-1501
(770) 464-6184
Mailing address
6805 TARA BLVD, JONESBORO, GA 30236-1501
(770) 464-6184
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
GA
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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