Community Based Healthcare Services

NPI #1316389901 in Tucker, Georgia

Provider Information

NPI Number
1316389901
Entity Type
Organization
Organization Name
Community Based Healthcare Services
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jul 23, 2013
Last Updated
Jul 23, 2013

Practice Location

Address
2374 MAIN ST STE B
City
Tucker
State
Georgia
ZIP Code
30084-4533
Phone
(678) 964-7107

Authorized Official

Name
DERRICK BOSWELL JR., BS PSYCHOLOGY
Title
DIRECTOR
Phone
(678) 964-7107

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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