Organization
GREATER GEORGIA BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT DINICOLA (MEMBER)
(781) 472-0247
Entity
Organization
Contact information
Practice address
160 CARNEGIE PL, FAYETTEVILLE, GA 30214-3905
(470) 435-8028
Mailing address
1600 PROVIDENCE HWY STE 100, WALPOLE, MA 02081-2557
(470) 435-8028
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/22/2025
Last updated
12/15/2025
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