TARA PETTIT DELOACH LLC

AUGUSTA, GA
NPI1124897145
Entity TypeOrganization
Authorized ContactTARA PETTIT DELOACH
Owner
706-343-3661
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center Adult Mental Health
Enumeration Date2024-01-02
Last Update Date2024-01-02
Business Address
TARA PETTIT DELOACH LLC
930 STEVENS CREEK RD
AUGUSTA, GA 30907-3200
Phone number: 706-343-3661
Mailing Address
TARA PETTIT DELOACH LLC
930 STEVENS CREEK RD
AUGUSTA, GA 30907-3200
Phone number: 706-343-3661
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