Organization
GA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Active
Other names
GA REGIONAL HOSPITAL AT ATLANTA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMILE RISBY M.D. (CLINICAL DIRECTOR)
(404) 243-2114
Entity
Organization
Contact information
Practice address
3073 PANTHERSVILLE RD, DECATUR, GA 30034-3828
(404) 212-5454
(404) 243-2159
Mailing address
PO BOX 370407, DECATUR, GA 30037-0407
(404) 212-5454
(404) 243-2159
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
044-232
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141061A
—
GA
Enumeration date
04/01/2010
Last updated
04/19/2010
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