| Christine J Page Institute Corp | |
|
2205 Riverstone Blvd Ste 251 Canton GA 30114-5254 | |
| (770) 899-0648 | |
| (866) 520-0401 |
| Full Name | Christine J Page Institute Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2205 Riverstone Blvd Ste 251, Canton, Georgia |
| Authorized Official Name and Position | Christine Jean Page (OWNER/CEO) |
| Authorized Official Contact | 7708990648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine J Page Institute Corp 2205 Riverstone Blvd Ste 251 Canton GA 30114-5254 Ph: (770) 897-6327 | Christine J Page Institute Corp 2205 Riverstone Blvd Ste 251 Canton GA 30114-5254 Ph: (770) 899-0648 |
| NPI Number | 1821709981 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 12/03/2023 |
| Certification Date | 12/03/2023 |
| Medicare PECOS PAC ID | 0244681831 |
|---|---|
| Medicare Enrollment ID | O20240108005562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821709981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Christine Jean Page |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356691299 PECOS PAC ID: 5890146484 Enrollment ID: I20240108005545 |
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