Organization
RIVER EDGE BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY BETH TYLER (CFO)
(478) 752-3231
Entity
Organization
Contact information
Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4507
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4507
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00645301B
—
GA
Enumeration date
09/14/2007
Last updated
09/14/2007
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