FIESTA HEALTH LLC

SAVANNAH, GA
NPI1831827724
Entity TypeOrganization
Authorized ContactJORDAN P BOUDREAU
Owner/Chief Clinical Officer
231-497-0555
Organization Subpart ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2022-08-10
Last Update Date2024-09-20
Business Address
FIESTA HEALTH LLC
800 E 70TH ST
SAVANNAH, GA 31405-4813
Phone number: 912-214-3314
Mailing Address
FIESTA HEALTH LLC
634 HOLGATE AVE
DEFIANCE, OH 43512-2038
Phone number: 912-491-2491