Organization
BURNING BUSH YOUTH & FAMILY INTERVENTION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD TINSLEY (EXECUTIVE DIRECTOR)
(678) 774-8230
Entity
Organization
Contact information
Practice address
144 BROOKWOOD AVE, JACKSON, GA 30233-1403
(678) 774-8230
(678) 774-8233
Mailing address
144 BROOKWOOD AVE, JACKSON, GA 30233-1403
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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