| Grn Community Service Board | |
|
1430 Star Crest Drive Conyers GA 30012-6315 | |
| (770) 785-5910 | |
| Not Available |
| Full Name | Grn Community Service Board |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1430 Star Crest Drive, Conyers, Georgia |
| Authorized Official Name and Position | Michele Lea Bagby (FAIMLY ADVOCATE) |
| Authorized Official Contact | 7707855910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grn Community Service Board 6203 Nixon Cir Ne Covington GA 30014-6315 Ph: (678) 342-0814 | Grn Community Service Board 1430 Star Crest Drive Conyers GA 30012-6315 Ph: (770) 785-5910 |
| NPI Number | 1457402596 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457402596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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