Organization · Type 2 NPI
Sacred Space Psychiatry Center LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Mcdonough, GA
NPI number
1962396580
Active
Practice location
17 Hampton St Ste A
Mcdonough, GA 30253-3159
Mailing address
2224 Jenny Dr
Fairburn, GA 30213-4532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1962396580
Sacred Space Psychiatry Center LLC's National Provider Identifier is 1962396580, issued on Jun 6, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mcdonough, GA. The record was last updated on Jun 6, 2025.