| Equilibrium, Llc | |
|
9361 Fieldstone Ct Jonesboro GA 30236-6192 | |
| (678) 755-1743 | |
| Not Available |
| Full Name | Equilibrium, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9361 Fieldstone Ct, Jonesboro, Georgia |
| Authorized Official Name and Position | Leon Banks (CEO) |
| Authorized Official Contact | 7067148977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrium, Llc 9361 Fieldstone Ct Jonesboro GA 30236-6192 Ph: (678) 755-1743 | Equilibrium, Llc 9361 Fieldstone Ct Jonesboro GA 30236-6192 Ph: (678) 755-1743 |
| NPI Number | 1104011907 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104011907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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