Responsible Child, Llc | |
2775 Cruse Rd Suite 1601 Lawrenceville GA 30044-7140 | |
(678) 924-3201 | |
(678) 924-3202 |
Full Name | Responsible Child, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2775 Cruse Rd, Lawrenceville, Georgia |
Authorized Official Name and Position | Yuehong Chen Foley (PRESIDENT, THERAPIST) |
Authorized Official Contact | 4049641638 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Responsible Child, Llc 2775 Cruse Rd Suite 1601 Lawrenceville GA 30044-7140 Ph: (678) 924-3201 | Responsible Child, Llc 2775 Cruse Rd Suite 1601 Lawrenceville GA 30044-7140 Ph: (678) 924-3201 |
NPI Number | 1407095243 |
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Provider Enumeration Date | 02/18/2009 |
Last Update Date | 12/27/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407095243 | NPI | - | NPPES |
9489135 | Other | GA | AETNA |
328478934C | Medicaid | GA | |
345107105A | Medicaid | GA | |
436910 | Other | MANAGED HEALTHCARE NETWORK | |
11855418 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPC004844 (Georgia) | Primary |
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