# SECOND NATURE BLUE RIDGE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA Blue Ridge Therapeutic Wilderness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427562750
- **Authorized official:** VANESSA ALLEN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (706) 212-2037

## Contact information

- **Practice address:** 236 FILE ST., CLAYTON, GA 30525
- **Practice address phone:** (706) 212-2037
- **Practice address fax:** (706) 212-0354
- **Mailing address:** PO BOX 809, CLAYTON, GA 30525
- **Mailing address phone:** (706) 212-2037
- **Mailing address fax:** (706) 212-0354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 50017-RCC | GA | Yes |

## Other

- **Enumeration date:** 11/22/2017
- **Last updated:** 11/22/2017