Poinciana Recovery Institute | |
1301 Shiloh Rd Nw Suite 1531b Kennesaw GA 30144-7147 | |
(404) 966-3557 | |
Not Available |
Full Name | Poinciana Recovery Institute |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1301 Shiloh Rd Nw, Kennesaw, Georgia |
Authorized Official Name and Position | Kendrick Allen (OFFICER) |
Authorized Official Contact | 4049663557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Poinciana Recovery Institute 1301 Shiloh Rd Nw Suite 1531b Kennesaw GA 30144-7147 Ph: (404) 966-3557 | Poinciana Recovery Institute 1301 Shiloh Rd Nw Suite 1531b Kennesaw GA 30144-7147 Ph: (404) 966-3557 |
NPI Number | 1144605650 |
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Provider Enumeration Date | 07/26/2015 |
Last Update Date | 07/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144605650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Georgia) | Primary |
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