| Closer To Eden Inc | |
|
1936 Cornerstone Pass Conyers GA 30012-3788 | |
| (732) 331-4372 | |
| Not Available |
| Full Name | Closer To Eden Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1936 Cornerstone Pass, Conyers, Georgia |
| Authorized Official Name and Position | Renee Bryan (CEO) |
| Authorized Official Contact | 7323314372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Closer To Eden Inc 1936 Cornerstone Pass Conyers GA 30012-3788 Ph: (678) 825-5019 | Closer To Eden Inc 1936 Cornerstone Pass Conyers GA 30012-3788 Ph: (732) 331-4372 |
| NPI Number | 1518540715 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518540715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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