| Seize The Initiative Inc | |
|
2323 Lochinver Ln Sw Conyers GA 30094-6853 | |
| (770) 490-9398 | |
| Not Available |
| Full Name | Seize The Initiative Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2323 Lochinver Ln Sw, Conyers, Georgia |
| Authorized Official Name and Position | Sharrod Leauntay Burns (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 7704909398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seize The Initiative Inc 3900 Crown Rd Sw # 16709 Atlanta GA 30304-0001 Ph: (770) 490-9398 | Seize The Initiative Inc 2323 Lochinver Ln Sw Conyers GA 30094-6853 Ph: (770) 490-9398 |
| NPI Number | 1316703580 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316703580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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