Organization
UPSHAW, MILLINGTON THERAPEUTIC RESTORATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA ALLEN (OFFICE MANAGER)
(404) 434-8658
Entity
Organization
Contact information
Practice address
950 DANNON VIEW, SUITE 4201, ATLANTA, GA 30331-2159
(404) 629-6117
(404) 346-6147
Mailing address
2954 MEADOWLARK DRIVE, EAST POINT, GA 30344-4034
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
RN081528
GA
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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