Organization
PREMIER BEHAVIORAL HEALTH SERVICES OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTHOSH AUGUSTINE M.D. (CEO)
(910) 733-2007
Entity
Organization
Contact information
Practice address
775 HOUSTON MILL RD NE, ATLANTA, GA 30329-4224
(678) 995-5690
(404) 393-8939
Mailing address
775 HOUSTON MILL RD NE, ATLANTA, GA 30329-4224
(678) 995-5690
(404) 393-8939
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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