RESPITE RETREAT INC. NPI 1073038063

NPI Information

  • NPI: 1073038063
  • Provider Name: RESPITE RETREAT, INC.
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 1256 OLD GUM LOG RD
    BLAIRSVILLE, GA
    ZIP 30512
  • Phone: (706) 781-3155

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NPI Details

RESPITE RETREAT, INC. is an adolescent and children mental health clinic center in Blairsville, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. RESPITE RETREAT, INC. NPI is 1073038063. The provider is registered as an organization entity type.

The provider's business location address is:

1256 OLD GUM LOG RD
BLAIRSVILLE, GA
ZIP 30512-065
Phone: (706) 781-3155

The provider's authorized official is Christine Owen .
The authorized official title is Officer and has the following contact phone number (706) 781-3155.

The enumeration date for this NPI number is 8/10/2017 and was last updated on 8/10/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
3385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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: 11/21/2025

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