Organization · NPI-2

Betterself Community Care LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Mableton, GA

NPI number1295398345
StatusActive
Last updated in NPPESApr 15, 2019

Details

NPI
1295398345
Entity type
Organization (NPI-2)
Legal business name
Betterself Community Care LLC
Organization subpart
No
Enumeration date
Apr 15, 2019
Last updated
Apr 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

6268 Oakdale Rd Se
Mableton, GA 30126-2836

Phone 401-263-6467

Mailing address

1812 Evadale Ct
Mableton, GA 30126-5741

Phone 401-263-6467

Authorized official

Ngoneh Bullard
Owner
4012636467

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