An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
taxonomy 261QM0850X
Identifiers
Type
Value
Notes
01 (GA)
GRP2322
MEDICARE
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Paula Crane Center
Type code 5recorded 2016-03-23
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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