Organization
RENEWED MIND PARTIAL HOSPITALIZATION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE MOSELEY FREEMAN LCSW (CO- OWNER)
(229) 561-5912
Entity
Organization
Contact information
Practice address
3311 N VALDOSTA RD, VALDOSTA, GA 31602-1082
(229) 561-5912
Mailing address
412 GEORGIA AVE, VALDOSTA, GA 31602-2427
(229) 561-5912
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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