| Boss United, Inc. | |
|
22 Westwick Pl Douglasville GA 30134-4836 | |
| (404) 713-7050 | |
| Not Available |
| Full Name | Boss United, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22 Westwick Pl, Douglasville, Georgia |
| Authorized Official Name and Position | Barry O.c. Frazier (CEO) |
| Authorized Official Contact | 4047137050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boss United, Inc. 22 Westwick Pl Douglasville GA 30134-4836 Ph: (404) 713-7050 | Boss United, Inc. 22 Westwick Pl Douglasville GA 30134-4836 Ph: (404) 713-7050 |
| NPI Number | 1366794315 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 11/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366794315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC006754 (Georgia) | Primary |
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