NPI: 1063751014
Provider Name: CHANTAY GOLSON
Doing Business As: PURPOSE COMMUNITY THERAPEUTIC SERVICES, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization
Specialization: Professional
Address:
340 BOULEVARD NE
SUITE 611
ATLANTA, GA
ZIP 30312
Phone: (770) 280-7288
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CHANTAY GOLSON is a professional counselor in Atlanta, GA. CHANTAY GOLSON NPI is 1063751014. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Purpose Community Therapeutic Services, Llc.
The provider's business location address is:
340 BOULEVARD NE
SUITE 611
ATLANTA, GA
ZIP 30312-273
Phone: (770) 280-7288
Fax: (770) 983-6098
The provider's authorized official is Chantay Golson .
The authorized official title is Owner and has the following contact phone number (770) 280-7288.
The enumeration date for this NPI number is 2/12/2013 and was last updated on 7/9/2013.