Creating a Difference

NPI #1952859829 in Morrow, Georgia

Provider Information

NPI Number
1952859829
Entity Type
Organization
Organization Name
Creating a Difference
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 20, 2016
Last Updated
Sep 20, 2016

Practice Location

Address
1333 MOUNT ZION RD
City
Morrow
State
Georgia
ZIP Code
30260-2357
Phone
(770) 882-5895

Authorized Official

Name
SIR ALLEN DUPREE PEGUES, M.ED., LPC, NCC
Title
LICENSED PROFESSIONAL COUNSELOR
Phone
(770) 882-5895

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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