Bagley Youth Development
NPI #1811034317 in College Park, Georgia
Provider Information
- NPI Number
- 1811034317
- Entity Type
- Organization
- Organization Name
- Bagley Youth Development
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 31, 2007
- Last Updated
- May 19, 2009
Practice Location
- Address
- 2245 GODBY RD
- Address 2
- SUITE 206
- City
- College Park
- State
- Georgia
- ZIP Code
- 30349-5059
- Phone
- (404) 968-4662
Authorized Official
- Name
- MRS. GEORGIANA BAGLEY, M.S., LPC
- Title
- CEO
- Phone
- (404) 968-4662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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