| Restore Behaviroal Health | |
|
1954 Airport Rd # 104 Chamblee GA 30341-4956 | |
| (770) 899-8703 | |
| Not Available |
| Full Name | Restore Behaviroal Health |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1954 Airport Rd # 104, Chamblee, Georgia |
| Authorized Official Name and Position | Candace Atlas (CEO) |
| Authorized Official Contact | 7708998703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Behaviroal Health 1954 Airport Rd # 104 Chamblee GA 30341-4956 Ph: (770) 899-8703 | Restore Behaviroal Health 1954 Airport Rd # 104 Chamblee GA 30341-4956 Ph: (770) 899-8703 |
| NPI Number | 1194318691 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 02/16/2021 |
| Certification Date | 02/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194318691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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