Equilibrium, Llc | |
9361 Fieldstone Ct Jonesboro GA 30236-6192 | |
(678) 755-1743 | |
Not Available |
Full Name | Equilibrium, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 9361 Fieldstone Ct, Jonesboro, Georgia |
Authorized Official Name and Position | Leon Banks (CEO) |
Authorized Official Contact | 7067148977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Equilibrium, Llc 9361 Fieldstone Ct Jonesboro GA 30236-6192 Ph: (678) 755-1743 | Equilibrium, Llc 9361 Fieldstone Ct Jonesboro GA 30236-6192 Ph: (678) 755-1743 |
NPI Number | 1104011907 |
---|---|
Provider Enumeration Date | 09/14/2007 |
Last Update Date | 09/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104011907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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