Organization
WIND FROM THE MOUNTAIN RENEWAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA M BUSCH (OFFICE MANAGER)
(706) 635-8200
Entity
Organization
Contact information
Practice address
740 LITTLE ROCK CREEK RD, CHERRYLOG, GA 30522-2904
(706) 635-8200
(706) 635-8201
Mailing address
740 LITTLE ROCK CREEK RD, CHERRYLOG, GA 30522-2904
(706) 635-8200
(706) 635-8201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1377
GA
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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