Organization
UNIQUE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN JOHNSON M.ED (DIRECTOR)
(912) 572-2450
Entity
Organization
Contact information
Practice address
337 BRADLEY WOODS CT NW UNIT A, LILBURN, GA 30047-5931
(912) 572-2450
Mailing address
337 BRADLEY WOODS COURT UNIT A, LILBURN, GA 30047
(912) 572-2450
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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