| Spiritwork Development Group Llc | |
|
358 Boulder Run Hiram GA 30141-4198 | |
| (678) 782-9050 | |
| Not Available |
| Full Name | Spiritwork Development Group Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 358 Boulder Run, Hiram, Georgia |
| Authorized Official Name and Position | Rhonda James-jones (CEO/LEAD GUIDE) |
| Authorized Official Contact | 6787829050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spiritwork Development Group Llc 358 Boulder Run Hiram GA 30141-4198 Ph: (678) 782-9050 | Spiritwork Development Group Llc 358 Boulder Run Hiram GA 30141-4198 Ph: (678) 782-9050 |
| NPI Number | 1861158875 |
|---|---|
| Provider Enumeration Date | 11/14/2021 |
| Last Update Date | 11/14/2021 |
| Certification Date | 11/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861158875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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