Organization
SECOND NATURE BLUE RIDGE, LLC
Active
Other names
DBA Blue Ridge Therapeutic Wilderness
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ALLEN (DIRECTOR OF OPERATIONS)
(706) 212-2037
Entity
Organization
Contact information
Practice address
236 FILE ST., CLAYTON, GA 30525
(706) 212-2037
(706) 212-0354
Mailing address
PO BOX 809, CLAYTON, GA 30525
(706) 212-2037
(706) 212-0354
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
50017-RCC
GA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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