Echoic Autism Center INC
Community/Behavioral Health in Newnan, GA. Organization (NPI-2).
NPI number1104584697
StatusActive
Last updated in NPPESSep 25, 2023
Details
- NPI
- 1104584697
- Entity type
- Organization (NPI-2)
- Legal business name
- Echoic Autism Center INC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2021
- Certification date
- Sep 25, 2023
- Last updated
- Sep 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Echoic Autism Center (Doing Business As)
Practice location
414 Jefferson Street Ext # C327Newnan, GA 30263-1627
Phone 470-883-2733
Mailing address
414 Jefferson Street Ext # C327Newnan, GA 30263-1627
Phone 470-883-2733
Authorized official
Sharee Ross
Owner
4708832733
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