| Teen Challenge Ga. Intl | |
|
1753 Stephenson Rd Lithonia GA 30058-5940 | |
| (770) 853-5673 | |
| (678) 826-8640 |
| Full Name | Teen Challenge Ga. Intl |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 1753 Stephenson Rd, Lithonia, Georgia |
| Authorized Official Name and Position | Cathy A Picillo (BILLING COMPANY) |
| Authorized Official Contact | 9549937165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Challenge Ga. Intl Po Box 17969 Atlanta GA 30316-0969 Ph: (770) 853-5673 | Teen Challenge Ga. Intl 1753 Stephenson Rd Lithonia GA 30058-5940 Ph: (770) 853-5673 |
| NPI Number | 1255713764 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 06/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255713764 | NPI | - | NPPES |
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