Mason's Boys And Girls World | |
5461 Stonewall Tell Rd College Park GA 30349-2458 | |
(770) 969-4744 | |
Not Available |
Full Name | Mason's Boys And Girls World |
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Speciality | Counselor - Mental Health |
Location | 5461 Stonewall Tell Rd, College Park, Georgia |
Authorized Official Name and Position | Michael Winfree (CHURCH ADMINISTRATOR) |
Authorized Official Contact | 7709694744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mason's Boys And Girls World Po Box 839 Red Oak GA 30272-0839 Ph: (770) 969-4744 | Mason's Boys And Girls World 5461 Stonewall Tell Rd College Park GA 30349-2458 Ph: (770) 969-4744 |
NPI Number | 1306005103 |
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Provider Enumeration Date | 06/05/2008 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306005103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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