Advanced Juvenile Enhancement, Llc
LBN: Advanced Juvenile Enhancement, Llc
Advanced Juvenile Enhancement, Llc is an health care organization with primary practice located at 3058 Rolling Rd N , Macon GA 31204-1077. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Advanced Juvenile Enhancement, Llc can be contacted via phone (478) 320-7837, or through Solomon, Angela via phone (478) 320-7837.
Contact Information
Primary practice address
3058 Rolling Rd N
Macon GA 31204-1077
Phone: (478) 320-7837
Fax:
Website:
Authorized official contact:
Name: Solomon, Angela Licensed Clinical Social Worker (LCSW)
Phone: (478) 320-7837
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1477135994 |
|---|---|
| LBN Legal business name | Advanced Juvenile Enhancement, Llc |
| DBA Doing business as | Advanced Juvenile Enhancement, Llc |
| Authorized official | Solomon, Angela Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2021 |
| Last updated | May 21st, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477135994 | NPPES |
| Georgia | MEDICAID | 003246411A |
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