Organization
MBROWN ENTERPRISE LLC
Active
Other names
Rebirth Transition Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKEL BROWN (OWNER)
(314) 497-7510
Entity
Organization
Contact information
Practice address
1750 SHILOH RD NW, APT 134, KENNESAW, GA 30144-6507
(314) 497-7510
Mailing address
1750 SHILOH RD NW, APT 134, KENNESAW, GA 30144-6507
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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