A Place Of Serenity, INC.
Community/Behavioral Health in Snellville, GA. Organization (NPI-2).
NPI number1164731576
StatusActive
Last updated in NPPESMar 30, 2018
Details
- NPI
- 1164731576
- Entity type
- Organization (NPI-2)
- Legal business name
- A Place Of Serenity, INC.
- Organization subpart
- No
- Enumeration date
- Oct 3, 2010
- Last updated
- Mar 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 067-01-434-1 | GA | Yes |
Practice location
3755 Cherie Glen RdSnellville, GA 30039-4311
Phone 770-978-9501 · Fax 770-982-4665
Mailing address
3755 Cherie Glen RdSnellville, GA 30039-4311
Phone 470-545-3682 · Fax 770-972-3989
Authorized official
Barbara Ann Clark-Beckford
Ddp/Admin.
7708651003
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