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1831827724
FIESTA HEALTH LLC
SAVANNAH, GA
NPI
1831827724
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Entity Type
Organization
Authorized Contact
JORDAN P BOUDREAU
Owner/Chief Clinical Officer
231-497-0555
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2022-08-10
Last Update Date
2024-09-20
Business Address
FIESTA HEALTH LLC
800 E 70TH ST
SAVANNAH, GA 31405-4813
Phone number: 912-214-3314
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Mailing Address
FIESTA HEALTH LLC
634 HOLGATE AVE
DEFIANCE, OH 43512-2038
Phone number: 912-491-2491
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