Crossover Outpatient Services Llc | |
241 Lemon St Ne Ste C Marietta GA 30060-1644 | |
(404) 400-1989 | |
Not Available |
Full Name | Crossover Outpatient Services Llc |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 241 Lemon St Ne Ste C, Marietta, Georgia |
Authorized Official Name and Position | John Craig Bremner (OWNER) |
Authorized Official Contact | 7706397100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crossover Outpatient Services Llc 227 Sandy Springs Pl Ste D-298 Sandy Springs GA 30328-5918 Ph: (404) 400-1989 | Crossover Outpatient Services Llc 241 Lemon St Ne Ste C Marietta GA 30060-1644 Ph: (404) 400-1989 |
NPI Number | 1891217600 |
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Provider Enumeration Date | 07/13/2017 |
Last Update Date | 04/19/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891217600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Georgia) | Primary |
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