NPI 1073997888

Devereux Georgia

Organisation Psychiatric Residential Treatment Facility Kennesaw, GA

Practice location

Address: 1291 Stanley Rd NW, Kennesaw, GA 30152-4359
Phone: (770) 427-0147
Fax: (678) 303-5256

Authorised official

Name: Cathy Sears Huff
Title: Clinical Therapist
Phone: (770) 427-0147

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 1352 (GA)

Other Psychiatric Residential Treatment Facility providers in Georgia →

Registry record

NPI: 1073997888
Entity type: Organization
NPI issued: 13 Jul 2015
Record last updated: 13 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.