| The Safety Net Youth Services | |
|
3416 Timbercreek Dr Lawrenceville GA 30044-3050 | |
| (470) 321-3346 | |
| Not Available |
| Full Name | The Safety Net Youth Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3416 Timbercreek Dr, Lawrenceville, Georgia |
| Authorized Official Name and Position | Camille J Gregory (CEO) |
| Authorized Official Contact | 4703213346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Safety Net Youth Services Po Box 465472 Lawrenceville GA 30042-5472 Ph: (470) 321-3346 | The Safety Net Youth Services 3416 Timbercreek Dr Lawrenceville GA 30044-3050 Ph: (470) 321-3346 |
| NPI Number | 1477203347 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477203347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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