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1174997688
PROVISION DUI TREATMENT
ALBANY, GA
NPI
1174997688
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Entity Type
Organization
Authorized Contact
DAVID BERRY
CEO
229-449-2575
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: GA 101YA0400X)
Enumeration Date
2015-11-20
Last Update Date
2015-11-20
Business Address
PROVISION DUI TREATMENT
230 S JACKSON ST
ALBANY, GA 31701-2885
Phone number: 229-449-2575
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Mailing Address
PROVISION DUI TREATMENT
230 S JACKSON ST
ALBANY, GA 31701-2885
Phone number: 229-449-2575
Copy
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