| Agathos Place, Inc. | |
|
4595 Jonesboro Rd Forest Park GA 30297-4317 | |
| (470) 755-6710 | |
| (470) 755-6710 |
| Full Name | Agathos Place, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4595 Jonesboro Rd, Forest Park, Georgia |
| Authorized Official Name and Position | Tiffany Denise Giles (CEO) |
| Authorized Official Contact | 4707556710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agathos Place, Inc. 2714 Waterford Club Dr Lithia Springs GA 30122-4413 Ph: (470) 755-6710 | Agathos Place, Inc. 4595 Jonesboro Rd Forest Park GA 30297-4317 Ph: (470) 755-6710 |
| NPI Number | 1326550401 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 10/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326550401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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