Penta C. Enterprices, INC.
Counselor, Mental Health in Decatur, GA. Organization (NPI-2).
NPI number1821296567
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1821296567
- Entity type
- Organization (NPI-2)
- Legal business name
- Penta C. Enterprices, INC.
- Organization subpart
- No
- Enumeration date
- Jul 3, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 101YM0800X | GA | Yes |
Practice location
3009 Rainbow Dr142
Decatur, GA 30034-1680
Phone 404-243-1992 · Fax 404-243-4903
Mailing address
3009 Rainbow Dr142
Decatur, GA 30034-1680
Phone 404-243-1992 · Fax 404-243-4903
Authorized official
Alice Cannon
Director
4042431992
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