Organization
RIVER EDGE BEHAVIORAL HEALTH CENTER
Active
Other names
Old Brent Road
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY BETH TYLER (CFO)
(478) 752-3231
Entity
Organization
Contact information
Practice address
168 OLD BRENT RD, FORSYTH, GA 31029-6911
(478) 803-7602
Mailing address
168 OLD BRENT RD, FORSYTH, GA 31029-6911
(478) 803-7602
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604194U
—
GA
Enumeration date
12/08/2006
Last updated
01/30/2019
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