Organization · Type 2 NPI
Purpose Community Therapeutic Services, LLC
Professional Counselor · Villa Rica, GA
NPI number
1851632376
Active
Practice location
242 Fairfield Rd
Villa Rica, GA 30180-3804
Fax (770) 983-6098
Mailing address
3400 Chapel Hill Rd, Suite 216
Douglasville, GA 30135-1739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 002683 (GA) |
Professional Counselor: Definition to come...
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About NPI 1851632376
Purpose Community Therapeutic Services, LLC's National Provider Identifier is 1851632376, issued on Mar 7, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Villa Rica, GA. The record was last updated on Mar 7, 2013.