| Ithaca Behavioral Health | |
|
243 London Dr Mcdonough GA 30253-7073 | |
| (678) 988-6835 | |
| Not Available |
| Full Name | Ithaca Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 243 London Dr, Mcdonough, Georgia |
| Authorized Official Name and Position | Karen Irwin-copeland (CEO) |
| Authorized Official Contact | 6789886835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ithaca Behavioral Health 243 London Dr Mcdonough GA 30253-7073 Ph: (678) 988-6835 | Ithaca Behavioral Health 243 London Dr Mcdonough GA 30253-7073 Ph: (678) 988-6835 |
| NPI Number | 1407568850 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 12/16/2022 |
| Certification Date | 12/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407568850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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