Journey For Learning Independence For Empowerment | |
1316 Westward Dr Sw Marietta GA 30008-4028 | |
(404) 788-6604 | |
Not Available |
Full Name | Journey For Learning Independence For Empowerment |
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Speciality | Community/behavioral Health |
Location | 1316 Westward Dr Sw, Marietta, Georgia |
Authorized Official Name and Position | Journey Gutierrez-tatum (FOUNDER/CEO) |
Authorized Official Contact | 4047886604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Journey For Learning Independence For Empowerment 1316 Westward Dr Sw Marietta GA 30008-4028 Ph: (404) 788-6604 | Journey For Learning Independence For Empowerment 1316 Westward Dr Sw Marietta GA 30008-4028 Ph: (404) 788-6604 |
NPI Number | 1770827578 |
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Provider Enumeration Date | 11/16/2012 |
Last Update Date | 11/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770827578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 12075335 (Georgia) | Primary |
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