Organization
THE COTTAGES ON MOUNTAIN CREEK, LLC
Active
Organization
THE COTTAGES ON MOUNTAIN CREEK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL REYNOLDS MAI, CCIM (CHIEF EXECUTIVE OFFICER)
(404) 786-4440
Entity
Organization
Contact information
Practice address
5815 MOUNTAIN CREEK RD NE, SANDY SPRINGS, GA 30328-5036
(404) 228-6445
(404) 963-0555
Mailing address
5800 MOUNTAIN CREEK RD NE, SANDY SPRINGS, GA 30328-5035
(404) 228-6554
(404) 963-0555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
PCH006602
GA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
PCH006602
GA
323P00000X
Psychiatric Residential Treatment Facility
PCH006602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO520306
JOINT COMMISSION HEALTH CARE
GA
Enumeration date
10/24/2011
Last updated
10/24/2011
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