Organization
THE POTTER'S HOUSE FAMILY AND CHILDREN TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON M.D. (PRESIDENT, SECRETARY, TREASURER)
(404) 247-5971
Entity
Organization
Contact information
Practice address
2300 W. PARK PLACE BLVD., STE. 128, 135, 138, STONE MOUNTAIN, GA 30087-3561
(678) 330-4000
Mailing address
242 S. WASHINGTON BLVD., PMB#177, SARASOTA, FL 34236-6943
(678) 330-1400
(678) 330-1405
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2007
Last updated
09/09/2022
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