Innovative Clinical Services

NPI #1447522396 in Hampton, Georgia

Provider Information

NPI Number
1447522396
Entity Type
Organization
Organization Name
Innovative Clinical Services
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 7, 2012
Last Updated
Feb 7, 2012

Practice Location

Address
160 KYNDAL DR
State
Georgia
ZIP Code
30228-4862
Phone
(678) 826-6435

Authorized Official

Name
MS. SEANLONDA N. COOLEY
Title
CEO/OWNER
Phone
(678) 826-6435

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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