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Organization

RAMSAY YOUTH SERVICES OF GEORGIA

Active
Other names
Lake Bridge Behavioral Health System
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(800) 768-3300
Entity
Organization

Contact information

Practice address
3500 RIVERSIDE DRIVE, MACON, GA 31210-0000
(478) 477-3829
(478) 314-1728
Mailing address
3500 RIVERSIDE DRIVE, MACON, GA 31210-0000
(478) 477-3829
(478) 314-1728

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
011-657
GA
323P00000X
Psychiatric Residential Treatment Facility
011-615
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372803396
GA
05
372803396A
GA
Enumeration date
06/29/2007
Last updated
07/16/2013
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