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Advanced Juvenile Enhancement, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Macon, Georgia
NPI 1477135994

Advanced Juvenile Enhancement, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Macon, GA and is specialized in Mental Health (Including Community Mental Health Center). Advanced Juvenile Enhancement, Llc practices in Macon, GA. The NPI Number for Advanced Juvenile Enhancement, Llc is 1477135994 and holds a License No. (Georgia).

The current practice location address for Advanced Juvenile Enhancement, Llc is 3058 Rolling Rd N, Macon, GA and can be reached out via phone at 478-320-7837.

Location: 3058 Rolling Rd N, Macon, GA, 31204-1077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477135994
Provider Name
Advanced Juvenile Enhancement, Llc
Credential
Provider Entity Type
Organization
Address
3058 Rolling Rd N, Macon, GA, 31204-1077
Phone Number
478-320-7837
Fax Number
Provider Enumeration Date
04/23/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003246411A 05 GA
institution
Provider Business Practice Location Address Details
Address
3058 Rolling Rd N
City
Macon
State
Georgia
Zip
31204-1077
Phone Number
478-320-7837
Fax Number
person
Provider Business Mailing Address Details
Address
3058 Rolling Rd N
City
Macon
State
Georgia
Zip
31204-1077
Phone Number
478-320-7837
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
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Definition
Definition to come...
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