Organization
CYNTHIA A NEWCITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA A NEWCITY MS LPC (OWNER)
(404) 672-7064
Entity
Organization
Contact information
Practice address
574 CHURCH ST NE, MARIETTA, GA 30060-1358
(404) 672-7064
Mailing address
3454 CHASTAIN LAKES DR NW, KENNESAW, GA 30144-3058
(404) 672-7064
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
002292
GA
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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