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)
1518377266
NPI
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Value in Therapy
Type code 5recorded 2018-07-18
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 2 secondary practice locations.
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