Organization · Type 2 NPI

Tara Pettit Deloach LLC

Adult Mental Health Clinic/Center · Augusta, GA

NPI number 1124897145 Active

Practice location

930 Stevens Creek Rd
Augusta, GA 30907-3200

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1124897145

Tara Pettit Deloach LLC's National Provider Identifier is 1124897145, issued on Jan 2, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Augusta, GA. The record was last updated on Jan 2, 2024.