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Organization

THREE DIMENSIONAL LIFE

Active
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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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