| Creating A Difference | |
|
1333 Mount Zion Rd Morrow GA 30260-2357 | |
| (770) 882-5895 | |
| Not Available |
| Full Name | Creating A Difference |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1333 Mount Zion Rd, Morrow, Georgia |
| Authorized Official Name and Position | Sir Allen Dupree Pegues (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7708825895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating A Difference 413 Arbor Cir Tucker GA 30084-8603 Ph: (770) 882-5895 | Creating A Difference 1333 Mount Zion Rd Morrow GA 30260-2357 Ph: (770) 882-5895 |
| NPI Number | 1952859829 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952859829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 008654 (Georgia) | Primary |
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