Organization
ST. RUTH BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEGE PONE (OWNER)
(678) 789-7299
Entity
Organization
Contact information
Practice address
1841 MONTREAL RD STE 110E, TUCKER, GA 30084-5713
(678) 789-7299
Mailing address
939 ASHTON PARK CT, LAWRENCEVILLE, GA 30045-7055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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