Carla, Ltd
Clinic/Center, Adult Mental Health in Roswell, GA. Organization (NPI-2).
NPI number1477734515
StatusActive
Last updated in NPPESNov 16, 2007
Details
- NPI
- 1477734515
- Entity type
- Organization (NPI-2)
- Legal business name
- Carla, Ltd
- Organization subpart
- No
- Enumeration date
- Nov 16, 2007
- Last updated
- Nov 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | LPC000869 | GA | Yes |
Practice location
70 Mansell CtSuite 100
Roswell, GA 30076-1523
Phone 678-357-6928
Mailing address
1049 Wiley Bridge RdWoodstock, GA 30188-4604
Phone 678-357-6928
Authorized official
Carol Ann Marra
Ceo
6783576928
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