| Teen Dreams Incorporated | |
|
716 Broad St Augusta GA 30901-5003 | |
| (803) 624-3806 | |
| Not Available |
| Full Name | Teen Dreams Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 716 Broad St, Augusta, Georgia |
| Authorized Official Name and Position | Aleeka Michelle Moody (FOUNDER/CEO) |
| Authorized Official Contact | 8033415210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Dreams Incorporated 436 Edisto Dr Belvedere SC 29841-2726 Ph: (803) 624-3806 | Teen Dreams Incorporated 716 Broad St Augusta GA 30901-5003 Ph: (803) 624-3806 |
| NPI Number | 1235609355 |
|---|---|
| Provider Enumeration Date | 12/01/2018 |
| Last Update Date | 12/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235609355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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