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DUNWOODY BEHAVIORAL HEALTH CENTER LLC NPI 1851960595


NPI Information

NPI: 1851960595
Provider Name: DUNWOODY BEHAVIORAL HEALTH CENTER LLC
Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization

CLIA Number: 11D2292011

Address:
4594 BARCLAY DR
ATLANTA, GA
ZIP 30338
Phone: (404) 951-6020
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DUNWOODY BEHAVIORAL HEALTH CENTER LLC is a psychiatric residential treatment facility in Atlanta, GA. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary DUNWOODY BEHAVIORAL HEALTH CENTER LLC NPI is 1851960595. The provider is registered as an organization entity type.

The provider's business location address is:

4594 BARCLAY DR
ATLANTA, GA
ZIP 30338-883
Phone: (404) 951-6020

The provider's authorized official is Yosef Shubaev .
The authorized official title is Coo and has the following contact phone number (404) 951-6020.

The CLIA number assigned to this NPI record is 11D2292011 - other - treatment facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 8/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4323P00000XPsychiatric Residential Treatment FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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