| The Sutherland Center, Llc | |
|
4200 Reserve Hill Xing Douglasville GA 30135-5188 | |
| (770) 853-6372 | |
| (888) 399-2597 |
| Full Name | The Sutherland Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4200 Reserve Hill Xing, Douglasville, Georgia |
| Authorized Official Name and Position | Alvin C Sutherland (OWNER) |
| Authorized Official Contact | 7708536372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sutherland Center, Llc Po Box 6686 Douglasville GA 30154-0029 Ph: (770) 853-6372 | The Sutherland Center, Llc 4200 Reserve Hill Xing Douglasville GA 30135-5188 Ph: (770) 853-6372 |
| NPI Number | 1265817530 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265817530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC004159 (Georgia) | Primary |
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