Organization
RESILIENCE BEHAVIORAL HEALTH GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DINICOLA (PROGRAM DIRECTOR)
(781) 472-0247
Entity
Organization
Contact information
Practice address
200 WESTPARK DR STE 100, PEACHTREE CITY, GA 30269-3527
(781) 472-0247
Mailing address
1600 PROVIDENCE HWY STE 100, WALPOLE, MA 02081-2557
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/20/2024
Last updated
12/15/2025
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