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8314 Office Park Dr Ste D Douglasville GA 30134-6936 | |
| (757) 525-7333 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8314 Office Park Dr Ste D, Douglasville, Georgia |
| Authorized Official Name and Position | Goziam Kwame Ogwu (CEO) |
| Authorized Official Contact | 7575257733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
440 Austin Dr Douglasville GA 30134-5194 Ph: (757) 525-7733 | 8314 Office Park Dr Ste D Douglasville GA 30134-6936 Ph: (757) 525-7333 |
| NPI Number | 1477116325 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477116325 | NPI | - | NPPES |
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