When I Was a Child Corp

NPI #1023690831 in Mableton, Georgia

Provider Information

NPI Number
1023690831
Entity Type
Organization
Organization Name
When I Was a Child Corp
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 22, 2021
Last Updated
Apr 22, 2021

Practice Location

Address
6235 PROVIDENCE CLUB DR
State
Georgia
ZIP Code
30126-7223
Phone
(678) 910-6888

Authorized Official

Name
AMANDA EZZARD
Title
EXECUTIVE DIRCTOR
Phone
(678) 910-6888

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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