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Organization

MIND RESTORATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADAM MCTIGHE (OWNER/PARTNER)
(412) 951-2483
Entity
Organization

Contact information

Practice address
3545 BROAD ST UNIT 660156, ATLANTA, GA 30366-2123
(404) 275-4604
Mailing address
3545 BROAD ST UNIT 660156, ATLANTA, GA 30366-2123
(404) 275-4604

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
09/07/2023
Last updated
09/07/2023
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