Innovative Therapy Group
NPI #1154193142 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1154193142
- Entity Type
- Organization
- Organization Name
- Innovative Therapy Group
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 690 THORNTON WAY STE A
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-2614
- Phone
- (678) 324-0654
Authorized Official
- Name
- MR. JUAN ZERMENO DESANTOS
- Title
- PROGRAM DIRECTOR
- Phone
- (404) 290-6786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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