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Organization

GRACE HARBOUR, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY LONG HOWARD LMFT (FAMILY THERAPIST)
(770) 634-2490
Entity
Organization

Contact information

Practice address
2 LEE ST, SUITE A, NEWNAN, GA 30263-1915
(770) 486-1140
(678) 669-2693
Mailing address
2 LEE ST, SUITE A, NEWNAN, GA 30263-1915
(770) 486-1140
(678) 669-2693

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFT001104
GA

Other

Enumeration date
03/01/2010
Last updated
03/01/2010
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