NPI: 1477135994
Provider Name: ADVANCED JUVENILE ENHANCEMENT, LLC
Doing Business As: ADVANCED JUVENILE ENHANCEMENT, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
3058 ROLLING RD N
MACON, GA
ZIP 31204
Phone: (478) 320-7837
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ADVANCED JUVENILE ENHANCEMENT, LLC is a mental health (including community mental health center) clinic center in Macon, GA. ADVANCED JUVENILE ENHANCEMENT, LLC NPI is 1477135994. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Juvenile Enhancement, Llc.
The provider's business location address is:
3058 ROLLING RD N
MACON, GA
ZIP 31204-077
Phone: (478) 320-7837
The provider's authorized official is Angela Solomon .
The authorized official title is Owner and has the following contact phone number (478) 320-7837.
The enumeration date for this NPI number is 4/23/2021 and was last updated on 5/21/2023.