MENTOR ONE
Residential Treatment Facilities at Caroline Ct, Douglasville, GA

License number
Georgia GA00077528
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: DR. LAVETA SYLVONYA FUTCH PH.D., M.A., B.A.
Title: DIRECTOR
Phone: (404) 838-7903
Address
Address 2
4291 Caroline Ct, Douglasville, GA 30135
PO Box 1806, Lithia Springs, GA 30122
National Provider ID: 1538438742
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MENTOR ONE at bizstanding.com

MY MENTOR ONE PROGRAM INCORPORATED

PO Box 1806, Lithia Springs, GA

Status:
Inactive
Registration:
Feb 3, 2010
Inactive since:
Aug 31, 2011
State ID:
10008599
Business type:
Domestic Nonprofit Corporation
Agent:
Laveta Sylvonya Futch,4974 Austell Rd, Austell, GA 30106 (Physical)

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