Organization
GRACE HARBOUR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN FREEMAN (PRESIDENT AND CEO)
(770) 486-1140
Entity
Organization
Contact information
Practice address
23 EASTBROOK BND, PEACHTREE CITY, GA 30269-1565
(770) 486-1140
Mailing address
23 EASTBROOK BND, PEACHTREE CITY, GA 30269-1565
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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