| Obtain The Promise Llc | |
|
189 Mill Creek Dr Canton GA 30115-6037 | |
| (404) 644-0265 | |
| Not Available |
| Full Name | Obtain The Promise Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 189 Mill Creek Dr, Canton, Georgia |
| Authorized Official Name and Position | Thomas L Mcclain (OWNER) |
| Authorized Official Contact | 4046440265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obtain The Promise Llc 189 Mill Creek Dr Canton GA 30115-6037 Ph: (404) 644-0265 | Obtain The Promise Llc 189 Mill Creek Dr Canton GA 30115-6037 Ph: (404) 644-0265 |
| NPI Number | 1194276592 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 10/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194276592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC008974 (Georgia) | Primary |
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