Organization
CHILD, YOUTH, ADOLESCENTS, AND FAMILIES
Active
Parent organization
BEHAVIORAL HEALTH DERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEHAVIORAL HEALTH DERVICES
Authorized official
MS. ELANTA THOMAS REGISTERED NURSE (REGISTERED NURSE)
(770) 478-2640
Entity
Organization
Contact information
Practice address
1396 SOUTHLAKE PLAZA DR, MORROW, GA 30260-1756
(770) 473-2640
(770) 473-2601
Mailing address
1396 SOUTHLAKE PLAZA DR, MORROW, GA 30260-1756
(770) 473-2640
(770) 473-2601
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
RN228517
GA
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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