INTEGRATED LIFE CENTER, INC.
Residential Treatment Facilities at Stonegate Industrial Blvd, Stone Mountain, GA

License number
Georgia 025893
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: DENNIS ARTHUR O'BRIEN M.D.
Title: CEO
Phone: (404) 377-5556
Address
Address
4641 Stonegate Industrial Blvd, Stone Mountain, GA 30083
National Provider ID: 1427199199
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about INTEGRATED LIFE CENTER, INC. at bizstanding.com

INTEGRATED LIFE CENTER, INC

4641 Stonegate Industrial Blvd, Stone Mountain, GA 30083

Registration:
Apr 29, 1999
State ID:
K918743
Business type:
Domestic Nonprofit Corporation
CEOs:
David Abrahams (Secretary), 1567 Fieldgreen Trl, Stone Mountain, GA 30088 (Physical),A Dennis O'brien (CEO), 130 Arizona Ave, Atlanta, GA 30307 (Physical)
Agent:
Thomas Joseph,2140 Twilley Cir, Marietta, GA (Physical)

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