Organization
RIVER EDGE BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH TYLER (CHIEF FINANCIAL OFFICER)
(478) 752-3231
Entity
Organization
Contact information
Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4519
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4519
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604194E
—
GA
Enumeration date
10/14/2005
Last updated
05/05/2008
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