City To City Psychiatric Services

NPI 1003039215 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1003039215
Enumeration Date 04/10/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEISHA KEISHA
Position CEO-CHILD & ADOLESCENT PSYCHIATRIST
Phone (678) 637-5216
Fax
Practice Location
4163 IDLEWOOD PARC CT
TUCKER GA, 30084-7833, US
Phone (678) 637-5216
Fax
Business Location
4163 IDLEWOOD PARC CT
TUCKER GA, 30084-7833, US
Phone (678) 637-5216
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Georgia
License Number 048985
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According to our database, City To City Psychiatric Services NPI is 1003039215, taxonomy code is 2084P0800X and license number is 048985, license state is located at Georgia. City To City Psychiatric Services physically located at 4163 Idlewood Parc Ct, Tucker GA, 30084-7833. NPI Number 1033115704 has the healthcare provider type.

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1003039215 NPI number is provided on an as is basis without warranty of any kind. 1003039215 is maintained by the National Plan & Provider Enumeration System. The contents of City To City Psychiatric Services are for informational purposes only.