| Grn Community Service Board | |
|
5030 Georgia Belle Ct Ste 2036 Norcross GA 30093-2667 | |
| (770) 638-5760 | |
| (770) 638-5789 |
| Full Name | Grn Community Service Board |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5030 Georgia Belle Ct, Norcross, Georgia |
| Authorized Official Name and Position | Samuel Haden Raper (CSI COUNSELOR) |
| Authorized Official Contact | 7706385760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grn Community Service Board 3432 Water Vistas Pkwy Apt. B Lawrenceville GA 30044-3070 Ph: (770) 381-5498 | Grn Community Service Board 5030 Georgia Belle Ct Ste 2036 Norcross GA 30093-2667 Ph: (770) 638-5760 |
| NPI Number | 1881756104 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881756104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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