Business & Technology Outreach Corporation | |
5386 Jonesboro Rd Morrow GA 30260-3557 | |
(404) 608-1101 | |
(404) 608-1110 |
Full Name | Business & Technology Outreach Corporation |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 5386 Jonesboro Rd, Morrow, Georgia |
Authorized Official Name and Position | Regina Fitzgerald (CEO/PRESIDENT) |
Authorized Official Contact | 4046081101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Business & Technology Outreach Corporation 5386 Jonesboro Rd Lake City GA 30260-3557 Ph: (404) 608-1101 | Business & Technology Outreach Corporation 5386 Jonesboro Rd Morrow GA 30260-3557 Ph: (404) 608-1101 |
NPI Number | 1750525275 |
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Provider Enumeration Date | 04/28/2009 |
Last Update Date | 04/28/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750525275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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