| Concept 180 Inc | |
|
17 Felton Pl Ste A Cartersville GA 30120-2153 | |
| (404) 202-4722 | |
| Not Available |
| Full Name | Concept 180 Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17 Felton Pl Ste A, Cartersville, Georgia |
| Authorized Official Name and Position | Vincent Malowry Jones (CCO) |
| Authorized Official Contact | 4042024722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concept 180 Inc 17 Felton Pl Ste A Cartersville GA 30120-2153 Ph: () - | Concept 180 Inc 17 Felton Pl Ste A Cartersville GA 30120-2153 Ph: (404) 202-4722 |
| NPI Number | 1487900148 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487900148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
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