Expansion Guidance Services
Community/Behavioral Health in Roswell, GA. Organization (NPI-2).
NPI number1871007161
StatusActive
Last updated in NPPESNov 25, 2017
Details
- NPI
- 1871007161
- Entity type
- Organization (NPI-2)
- Legal business name
- Expansion Guidance Services
- Organization subpart
- No
- Enumeration date
- Nov 22, 2017
- Last updated
- Nov 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 006759 | GA | Yes |
Practice location
760 Old Roswell Rd Ste 208Roswell, GA 30076-8686
Phone 770-609-1973 · Fax 770-545-8630
Mailing address
760 Old Roswell Rd Ste 208Roswell, GA 30076-8686
Phone 770-609-1973 · Fax 770-545-8630
Authorized official
Eboni R. Henry
Provider/Therapist
7706091973
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