Healthcare Provider Details

I. General information

NPI: 1740111046
Provider Name (Legal Business Name): COWETA FORCE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 SALBIDE AVE
NEWNAN GA
30263-2519
US

IV. Provider business mailing address

36 SALBIDE AVE
NEWNAN GA
30263-2519
US

V. Phone/Fax

Practice location:
  • Phone: 678-633-5688
  • Fax:
Mailing address:
  • Phone: 678-633-5688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. HANK ARNOLD
Title or Position: DIRECTOR
Credential: ARNOLD
Phone: 678-763-8129