OrganizationActive
Devereux Goergia Treatment Network
NPI 1619424231 · Psychiatric Residential Treatment Facility · Kennesaw, GA
Provider details
- NPI number
- 1619424231
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Yolanda Graham, Medical Director(770) 427-0147
- License
- 0038001 (GA)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1291 Stanley Rd
Kennesaw, GA 30152
Phone: (770) 427-0147
Approximate (ZIP-level) locationGet directions
Mailing address
1291 Stanley Rd Nw
Kennesaw, GA 30152-4359
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.