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1 Technology Pkwy S Norcross GA 30092-2928 | |
| (678) 713-2600 | |
| (678) 245-4753 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 1 Technology Pkwy S, Norcross, Georgia |
| Authorized Official Name and Position | Brian P. Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-1000 | 1 Technology Pkwy S Norcross GA 30092-2928 Ph: (678) 713-2600 |
| NPI Number | 1174865513 |
|---|---|
| Provider Enumeration Date | 03/24/2013 |
| Last Update Date | 08/26/2023 |
| Certification Date | 08/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174865513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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