Organization
MARCUS GRAHAM & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS GRAHAM (CLINICAL DIRECTOR)
(404) 345-4326
Entity
Organization
Contact information
Practice address
199 FRASIER ST SE, MARIETTA, GA 30060-2201
(678) 384-4512
Mailing address
4315 S BRAVES CIR, DOUGLASVILLE, GA 30135-9107
(404) 345-4326
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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