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DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES NPI 1033345079


NPI Information

NPI: 1033345079
Provider Name: DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES

Doing Business As: WEST CENTRAL BEHAVIORAL HEALTH HUB - INTENSIVE TREATMENT RES. (MALE)

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
6126 ARNOLD DR
COLUMBUS, GA
ZIP 31907
Phone: (706) 568-5118
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DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES is a community based residential treatment facility, intellectual and/or developmental disabilities in Columbus, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES NPI is 1033345079. The provider is registered as an organization entity type.
The provider Is Doing Business As West Central Behavioral Health Hub - Intensive Treatment Res. (male).

The provider's business location address is:

6126 ARNOLD DR
COLUMBUS, GA
ZIP 31907-904
Phone: (706) 568-5118

The provider's authorized official is Rick Garcia .
The authorized official title is Program Director and has the following contact phone number (706) 568-5118.

The enumeration date for this NPI number is 6/4/2009 and was last updated on 6/21/2018.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERGEORGIATAX ID

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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