| Carefree Maison | |
|
4055 Will Lee Rd College Park GA 30349-1904 | |
| (404) 456-2888 | |
| Not Available |
| Full Name | Carefree Maison |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4055 Will Lee Rd, College Park, Georgia |
| Authorized Official Name and Position | Beverly Rawls (CEO) |
| Authorized Official Contact | 4044562888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carefree Maison Po Box 1003 Red Oak GA 30272-1003 Ph: () - | Carefree Maison 4055 Will Lee Rd College Park GA 30349-1904 Ph: (404) 456-2888 |
| NPI Number | 1508139395 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508139395 | NPI | - | NPPES |
| 956857745G | Medicaid | GA | |
| 956857745L | Medicaid | GA | |
| 956857745N | Medicaid | GA | |
| 956857745P | Medicaid | GA | |
| 956857745K | Medicaid | GA | |
| 956857745O | Medicaid | GA | |
| 956857745J | Medicaid | GA | |
| 956857745H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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