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5180 Roswell Rd Sandy Springs GA 30342-2293 | |
| (714) 202-5166 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 5180 Roswell Rd, Sandy Springs, Georgia |
| Authorized Official Name and Position | Joseph A Procopio (CEO) |
| Authorized Official Contact | 9494324622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
L-4121 Columbus OH 43260-4121 Ph: (714) 202-5166 | 5180 Roswell Rd Sandy Springs GA 30342-2293 Ph: (714) 202-5166 |
| NPI Number | 1417553561 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417553561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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