| Beproactive Foundation, Inc | |
|
1830 Water Pl Se Ste #220 Atlanta GA 30339-7407 | |
| (770) 319-7468 | |
| (866) 416-1767 |
| Full Name | Beproactive Foundation, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1830 Water Pl Se, Atlanta, Georgia |
| Authorized Official Name and Position | Rj Lewis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7703197468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beproactive Foundation, Inc 1830 Water Pl Se Ste #220 Atlanta GA 30339-7407 Ph: (770) 319-7468 | Beproactive Foundation, Inc 1830 Water Pl Se Ste #220 Atlanta GA 30339-7407 Ph: (770) 319-7468 |
| NPI Number | 1538609888 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538609888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
| 251V00000X | Voluntary Or Charitable | (Georgia) | Secondary |
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