Provider First Line Business Practice Location Address:
3495 PIEDMONT ROAD NE I
Provider Second Line Business Practice Location Address:
DEPARTMENT OF BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-364-7243
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/16/2007