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1407381817
DIVINE PSYCHIATRIC CARE
LAWRENCEVILLE, GA
NPI
1407381817
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Entity Type
Organization
Authorized Contact
TRACY CARSTARPHEN
Owner
251-402-0450
Organization Subpart ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
Enumeration Date
2017-04-23
Last Update Date
2017-04-23
Business Address
DIVINE PSYCHIATRIC CARE
2651 CEDAR DR
LAWRENCEVILLE, GA 30043-1325
Phone number: 251-402-0450
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Mailing Address
DIVINE PSYCHIATRIC CARE
2651 CEDAR DR
LAWRENCEVILLE, GA 30043-1325
Phone number: 251-402-0450
Copy
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