| Grace Harbour Inc. Behavioral Health | |
|
2 Lee St Newnan GA 30263-1915 | |
| (678) 326-4488 | |
| (678) 669-2693 |
| Full Name | Grace Harbour Inc. Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2 Lee St, Newnan, Georgia |
| Authorized Official Name and Position | Kristin H Newman (STAFF NURSE) |
| Authorized Official Contact | 6783264488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Harbour Inc. Behavioral Health 2 Lee St Newnan GA 30263-1915 Ph: (678) 326-4488 | Grace Harbour Inc. Behavioral Health 2 Lee St Newnan GA 30263-1915 Ph: (678) 326-4488 |
| NPI Number | 1396097093 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 10/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396097093 | NPI | - | NPPES |
| 1407072770 | Other | GA | GRACE HARBOUR NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | RN149839 (Georgia) | Primary |
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