Mister Life Coach

NPI #1619403219 in Decatur, Georgia

Provider Information

NPI Number: 1619403219
Entity Type: Organization
Organization Name: Mister Life Coach
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: May 3, 2017
Last Updated: May 3, 2017

Practice Location

Address: 3681 N DECATUR RD APT R11
City: Decatur
State: Georgia
ZIP Code: 30032-1062
Phone: (631) 553-7131

Authorized Official

Name: MR. ROBERT GREEN JR.
Title: LIFE COACH
Phone: (631) 553-7131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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