East Teen Center

LBN: Dekalb County Board Of Health
East Teen Center is an health care organization with primary practice located at 2612 Max Cleland Blvd Ste A , Lithonia GA 30058-4400. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Dekalb County Board Of Health can be contacted via phone (678) 526-5429, or through Bouchelion, Sandra E via phone (404) 294-3787.

Contact Information

Primary practice address
2612 Max Cleland Blvd Ste A Lithonia GA 30058-4400
Phone: (678) 526-5429
Fax: (678) 526-5434
Website:
Map and Directions
Authorized official contact:
Name: Bouchelion, Sandra E Doctor of Medicine (MD)
Phone: (404) 294-3787

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1750488052
LBN Legal business name Dekalb County Board Of Health
DBA Doing business as East Teen Center
Authorized official Bouchelion, Sandra E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

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.

Request for update

Popular Providers