Provider First Line Business Practice Location Address:
CHILD AND ADOLESCENT STABILIZATION UNIT
Provider Second Line Business Practice Location Address:
2591 CANDLER ROAD
Provider Business Practice Location Address City Name:
DECATUR
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-209-2710
Provider Business Practice Location Address Fax Number:
678-212-6304
Provider Enumeration Date:
12/08/2008