UNIQUE DESTINY INC
Agencies at Walton Hl, Fairburn, GA

License number
Georgia APC004555
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: SANDTRICE RUSSELL
Title: CLINICIAN
Phone: (404) 924-5560
Address
Address 2
7117 Walton Hl, Fairburn, GA 30213
203 Vine St, Lagrange, GA 30241
National Provider ID: 1932651072
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about UNIQUE DESTINY INC at bizstanding.com

UNIQUE DESTINY INCORPORATED

203 Vine St, Lagrange, GA 30241

Registration:
Oct 11, 2012
State ID:
12081134
Business type:
Domestic Nonprofit Corporation
CFO:
Denise Sandtrice Russell (CFO), 203 Vine St, Lagrange, GA 30240 (Physical)
Agent:
Sandtrice D Russell,203 Vine St, Lagrange, GA (Physical)

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