# DEVEREUX GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073997888
- **Authorized official:** MS. CATHY SEARS HUFF LCSW (CLINICAL THERAPIST)
- **Authorized official phone:** (770) 427-0147

## Contact information

- **Practice address:** 1291 STANLEY RD NW, KENNESAW, GA 30152-4359
- **Practice address phone:** (770) 427-0147
- **Practice address fax:** (678) 303-5256
- **Mailing address:** 1291 STANLEY RD NW, KENNESAW, GA 30152-4359
- **Mailing address phone:** (770) 427-0147
- **Mailing address fax:** (678) 303-5256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 1352 | GA | Yes |

## Other

- **Enumeration date:** 07/13/2015
- **Last updated:** 07/13/2015