Organization
WELLSPRING LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIRZAH K BROWN (GED COACH)
(239) 410-2585
Entity
Organization
Contact information
Practice address
3965 ROOSEVELT HWY, ATLANTA, GA 30349-2607
(770) 631-8888
Mailing address
860 JOHNSON FERRY RD STE 140-330, ATLANTA, GA 30342-1435
(239) 410-2585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CCI001962
GA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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