Organization
ABUNDANT LIFE PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH RACADAG BSN-RN (OFFICE MANAGER/CO-OWNER)
(706) 613-4485
Entity
Organization
Contact information
Practice address
95 GOLDEN HILLS DRIVE, SUITE D, MOUNTAIN CITY, GA 30562
(706) 613-4485
Mailing address
PO BOX 1170, CLAYTON, GA 30525-0030
(706) 613-4485
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/28/2023
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