ELLIJAY CENTER FOR CHANGE, PC
Mental Health at Hospital Cir, Ellijay, GA

License number
Georgia CSW001990
Category
Mental Health
Type
Mental Health
Owner
Name: MS. CHERYL KEATS LCSW
Title: OWNER
Phone: (706) 698-2400
Address
Address
89 Hospital Cir SUITE 8, Ellijay, GA 30540
National Provider ID: 1669700837
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ELLIJAY CENTER FOR CHANGE, PC

65 Monticello Dr, Ellijay, GA 30540

Registration:
Jul 18, 2001
State ID:
0132829
Business type:
Domestic Professional Corporation
CFO:
M Cheryl Keats (CFO), 65 Monticello Dr #9284, Ellijay, GA 30540 (Physical)
Agent:
Cheryl M. Keats,65 Monticello Dr, Ellijay, GA (Physical)

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