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Organization

PSYCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GINARI RENE PRICE MD (OWNER)
(216) 630-0716
Entity
Organization

Contact information

Practice address
807 N TENNESSEE ST, SUITE 102, CARTERSVILLE, GA 30120-2895
(678) 632-5787
(404) 758-3497
Mailing address
3270 AMHURST DR NW, ATLANTA, GA 30318-5949
(216) 630-0716
(404) 758-3497

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
056712
GA
261QM0850X
Adult Mental Health Clinic/Center
056712
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
056712
GA

Other

Enumeration date
02/18/2012
Last updated
02/18/2012
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