| NPI | 1922036508 |
|---|---|
| Doing Business As | PROMEDICA PSYCHIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY H. LITTRELL President & CEO 770-554-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA 029689) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-04-28 |