Mbrown Enterprise LLC
Community/Behavioral Health in Kennesaw, GA. Organization (NPI-2).
NPI number1962889998
StatusActive
Last updated in NPPESApr 28, 2015
Details
- NPI
- 1962889998
- Entity type
- Organization (NPI-2)
- Legal business name
- Mbrown Enterprise LLC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2015
- Last updated
- Apr 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Rebirth Transition Program (Doing Business As)
Practice location
1750 Shiloh Rd NwApt 134
Kennesaw, GA 30144-6507
Phone 314-497-7510
Mailing address
1750 Shiloh Rd NwApt 134
Kennesaw, GA 30144-6507
Authorized official
Mikel Brown
Owner
3144977510
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