Organization
RIVER EDGE BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA ALEXANDER (BILLING MANAGER)
(478) 751-4507
Entity
Organization
Contact information
Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4519
(478) 752-1249
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4519
(478) 752-1249
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055002393A
—
GA
Enumeration date
03/14/2008
Last updated
03/14/2008
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