| Waypoint Ranch Clc, Inc | |
|
195 Little River Rd Carrollton GA 30117-7695 | |
| (678) 459-7825 | |
| Not Available |
| Full Name | Waypoint Ranch Clc, Inc |
|---|---|
| Speciality | Counselor |
| Location | 195 Little River Rd, Carrollton, Georgia |
| Authorized Official Name and Position | Ray S Cirasa (PRESIDENT) |
| Authorized Official Contact | 6784597825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waypoint Ranch Clc, Inc 195 Little River Rd Carrollton GA 30117-7695 Ph: (678) 459-7825 | Waypoint Ranch Clc, Inc 195 Little River Rd Carrollton GA 30117-7695 Ph: (678) 459-7825 |
| NPI Number | 1588198014 |
|---|---|
| Provider Enumeration Date | 04/11/2017 |
| Last Update Date | 04/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588198014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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