Provider First Line Business Practice Location Address:
1328 PEACHTREE STREET
Provider Second Line Business Practice Location Address:
STE B317 1ST PRESBYTERIAN CHURCH SAMARITAN COUNSELING
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30309-3902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-228-7777
Provider Business Practice Location Address Fax Number:
404-228-7769
Provider Enumeration Date:
04/17/2007