| Positive Growth, Inc. | |
|
3660 Market St Clarkston GA 30021-1246 | |
| (404) 298-9005 | |
| (404) 298-0046 |
| Full Name | Positive Growth, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3660 Market St, Clarkston, Georgia |
| Authorized Official Name and Position | Kimberly R Veira (CLINICAL PROGRAM DIRECTOR) |
| Authorized Official Contact | 4042989005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Growth, Inc. 3660 Market St Clarkston GA 30021-1246 Ph: (404) 298-9005 | Positive Growth, Inc. 3660 Market St Clarkston GA 30021-1246 Ph: (404) 298-9005 |
| NPI Number | 1386922722 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386922722 | NPI | - | NPPES |
| 276791400A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 582299589 (Georgia) | Primary |
Positive Growth Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3662 Market St, Suite 205, Clarkston, GA 30021 Phone: 404-298-9005 Fax: 404-298-0046 | |
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