| The Itd Group Llc | |
|
2004 Eastview Pkwy Suite 105 Conyers GA 30013-5770 | |
| (678) 905-1500 | |
| Not Available |
| Full Name | The Itd Group Llc |
|---|---|
| Speciality | Developmental Therapist |
| Location | 2004 Eastview Pkwy, Conyers, Georgia |
| Authorized Official Name and Position | Veja Corene Dennis (CEO/ SPECIAL EDUCATOR) |
| Authorized Official Contact | 6789051500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Itd Group Llc 95 Partridge Dr Ste 105 Covington GA 30016-1185 Ph: (678) 905-1500 | The Itd Group Llc 2004 Eastview Pkwy Suite 105 Conyers GA 30013-5770 Ph: (678) 905-1500 |
| NPI Number | 1639561905 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639561905 | NPI | - | NPPES |
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