Devereux Goergia Treatment Network

NPI #1619424231 in Kennesaw, Georgia

Provider Information

NPI Number
1619424231
Entity Type
Organization
Organization Name
Devereux Goergia Treatment Network
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
Sep 1, 2016
Last Updated
Sep 1, 2016

Practice Location

Address
1291 STANLEY RD
State
Georgia
ZIP Code
30152
Phone
(770) 427-0147

Authorized Official

Name
DR. YOLANDA PATRICE GRAHAM, M.D.
Title
MEDICAL DIRECTOR
Phone
(770) 427-0147

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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