| Jacore Enterprises | |
|
119 Brunswick Dr Tyrone GA 30290-1560 | |
| (404) 558-1676 | |
| Not Available |
| Full Name | Jacore Enterprises |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 119 Brunswick Dr, Tyrone, Georgia |
| Authorized Official Name and Position | Monica Perkins Kent (CEO) |
| Authorized Official Contact | 4045581676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacore Enterprises 119 Brunswick Dr Tyrone GA 30290-1560 Ph: (404) 558-1676 | Jacore Enterprises 119 Brunswick Dr Tyrone GA 30290-1560 Ph: (404) 558-1676 |
| NPI Number | 1952678351 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952678351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 16881 (Texas) | Secondary |
| 251S00000X | Community/behavioral Health | 006217 (Georgia) | Primary |
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