Organization
OASIS PCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK GORDON (COO)
(404) 432-2350
Entity
Organization
Contact information
Practice address
1487 PANOLA RD, STONE MOUNTAIN, GA 30088-3305
(770) 573-1076
Mailing address
1227 ROCKBRIDGE RD STE 208-196, STONE MOUNTAIN, GA 30087-3064
(770) 755-1394
(770) 220-1966
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/16/2021
Last updated
05/16/2021
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