Organization Name: | AMERIPARTNER INC. |
NPI Number: | 1023067626 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER W GLASS (VICE PRESIDENT) |
Mailing Address: | 1815 Marthas Bridge Rd Dalton |
State: | GA US |
Postal Code: | 307203871 |
Phone Number: | 4232654700 |
Fax Number: | 4232654707 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | GRP 6721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |