Provider Demographics
NPI:1376897678
Name:MILTON BROWN AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:MILTON BROWN AND ASSOCIATES, INC.
Other - Org Name:EASTCHESTER FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:404-242-5250
Mailing Address - Street 1:250 GEORGIA AVE SE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-3046
Mailing Address - Country:US
Mailing Address - Phone:404-653-0374
Mailing Address - Fax:404-653-0375
Practice Address - Street 1:483 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121-3353
Practice Address - Country:US
Practice Address - Phone:404-653-0374
Practice Address - Fax:404-653-0375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA690504216BMedicaid