Organization
THREE DIMENSIONAL LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN ARMSTRONG (EXECUTIVE DIRECTOR)
(770) 869-3551
Entity
Organization
Contact information
Practice address
4141 OLD CORNELIA HWY, GAINESVILLE, GA 30507-7784
(770) 869-3551
(770) 869-1426
Mailing address
4141 OLD CORNELIA HWY, GAINESVILLE, GA 30507-7784
(770) 869-3551
(770) 869-1426
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
669-366-D
GA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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