Organization
RIVER EDGE BEHAVIORAL HEALTH CENTER
Active
Other names
Childs St.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY BETH TYLER (CFO)
(478) 752-3231
Entity
Organization
Contact information
Practice address
151 CHILDS ST, GRAY, GA 31032-5637
(478) 751-4507
Mailing address
151 CHILDS ST, GRAY, GA 31032-5637
(478) 751-4507
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00604194J
—
GA
Enumeration date
12/14/2006
Last updated
08/22/2020
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