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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Mental Health |
261QM0850X | |||
Student Health |
261QS1000X |
| NPI # | 1831426931 |
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| LBN Legal business name | KENNESAW STATE UNIVERSITY HEALTH CLINIC | ||||
| Authorized official | ANNE NICHOLS - (HEALTH CLINIC DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/10/2009 | ||||
| Last updated | 11/10/2009 - About 17 years ago | ||||
| Identifiers |
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KENNESAW STATE UNIVERSITY HEALTH CLINIC