Provider Demographics
NPI:1154443240
Name:CENTER POINT GA, INC.
Entity Type:Organization
Organization Name:CENTER POINT GA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:M DIV
Authorized Official - Phone:770-535-1050
Mailing Address - Street 1:1050 ELEPHANT TRL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3016
Mailing Address - Country:US
Mailing Address - Phone:770-535-1050
Mailing Address - Fax:770-534-8204
Practice Address - Street 1:1050 ELEPHANT TRL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3016
Practice Address - Country:US
Practice Address - Phone:770-535-1050
Practice Address - Fax:770-534-8204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW003717101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty