| Breaking The Chains, Inc | |
|
111 Arnold Rd Fayetteville GA 30215-5246 | |
| (404) 839-7399 | |
| (678) 364-0109 |
| Full Name | Breaking The Chains, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 111 Arnold Rd, Fayetteville, Georgia |
| Authorized Official Name and Position | Emanuel Taylor (PRESIDENT) |
| Authorized Official Contact | 4043174238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking The Chains, Inc 111 Arnold Rd Fayetteville GA 30215-5246 Ph: (404) 839-7399 | Breaking The Chains, Inc 111 Arnold Rd Fayetteville GA 30215-5246 Ph: (404) 839-7399 |
| NPI Number | 1538497987 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538497987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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