Beyond Your Ordinary, INC.
Clinic/Center, Multi-Specialty in Mcdonough, GA. Organization (NPI-2).
NPI number1396365094
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1396365094
- Entity type
- Organization (NPI-2)
- Legal business name
- Beyond Your Ordinary, INC.
- Organization subpart
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Beyond Your Ordinary Treatment Center (Doing Business As)
Practice location
97 Atlanta St Ste 100Mcdonough, GA 30253-2192
Phone 336-268-6469
Mailing address
97 Atlanta St Ste 100Mcdonough, GA 30253-2192
Phone 336-268-6469
Authorized official
Mya Cullins
Ceo
3362686469
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