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Organization

ONYXA CARE COLLECTIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANELLE RYDER (FOUNDER & EXECUTIVE DIRECTOR)
(470) 855-5187
Entity
Organization

Contact information

Practice address
8103 S PINE CONE DR, VILLA RICA, GA 30180-7662
(470) 855-5187
Mailing address
8103 S PINE CONE DR, VILLA RICA, GA 30180-7662
(470) 855-5187

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
3104A0625X
Assisted Living Facility (Mental Illness)

Other

Enumeration date
08/25/2025
Last updated
08/25/2025
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