Organization
RAMSAY YOUTH SERVICES OF GEORGIA
Active
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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