Organization
SAINT JOSEPH'S MERCY CARE SERVICES, INC.
Active
Other names
Saint Joseph's Mercy Care - COR Behavior Health
Organization subpart
No
Provider details
NPI number
Authorized official
EARL THOMAS ANDREWS (PRESIDENT)
(678) 843-8502
Entity
Organization
Contact information
Practice address
1300 JOSEPH E BOONE BLVD NW, ATLANTA, GA 30314-2032
(678) 843-8600
(678) 843-8601
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8600
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000649844J
—
GA
Enumeration date
08/18/2015
Last updated
08/18/2015
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