Road to Success
NPI #1326446659 in Mount Vernon, Georgia
Provider Information
- NPI Number
- 1326446659
- Entity Type
- Organization
- Organization Name
- Road to Success
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 19, 2014
- Last Updated
- Dec 19, 2014
Practice Location
- Address
- 305 W SPRING ST
- City
- Mount Vernon
- State
- Georgia
- ZIP Code
- 30445-2837
- Phone
- (912) 423-0498
Authorized Official
- Name
- MR. THADEUS HOLLOWAY, LPC
- Title
- CEO/COUNSELOR
- Phone
- (912) 423-0498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Early Intervention Provider Agency |
| Community/Behavioral Health |
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