| Eden River | |
|
2775 Cruse Rd Ste 102 Lawrenceville GA 30044-7141 | |
| (678) 743-5572 | |
| Not Available |
| Full Name | Eden River |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2775 Cruse Rd Ste 102, Lawrenceville, Georgia |
| Authorized Official Name and Position | Christina Alston (OWNER) |
| Authorized Official Contact | 6785246031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden River 3286 Amesbury Way Duluth GA 30096-5898 Ph: (678) 524-6031 | Eden River 2775 Cruse Rd Ste 102 Lawrenceville GA 30044-7141 Ph: (678) 743-5572 |
| NPI Number | 1851012405 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851012405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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