Organization
GRACE HARBOUR INC. BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN H NEWMAN R.N. (STAFF NURSE)
(678) 326-4488
Entity
Organization
Contact information
Practice address
2 LEE ST, NEWNAN, GA 30263-1915
(678) 326-4488
(678) 669-2693
Mailing address
2 LEE ST, NEWNAN, GA 30263-1915
(678) 326-4488
(678) 669-2693
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RN149839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407072770
GRACE HARBOUR NPI NUMBER
GA
Enumeration date
10/05/2012
Last updated
10/05/2012
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