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Organization

PROVIDENCE RESIDENTIAL & OUTPATIENT PTSD SERVICES (PROPS)

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FELICIA BERRY-MITCHELL PHD (PRESIDENT)
(678) 882-5371
Entity
Organization

Contact information

Practice address
3400 CHAPEL HILL RD, SUITE 100 PMB #08, DOUGLASVILLE, GA 30135-1739
(678) 882-5371
Mailing address
PO BOX 5464, DOUGLASVILLE, GA 30154-0008
(678) 882-5371

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/01/2013
Last updated
03/01/2013
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