DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES NPI 1386879666

NPI Information

  • NPI: 1386879666
  • Provider Name: DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: WEST CENTRAL COMMUNITY INTEGRATION HOME #1
  • Address: 13260 UPATOI LN
    UPATOI, GA
    ZIP 31829
  • Phone: (706) 565-0770

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NPI Details

DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES is a mental health (including community mental health center) clinic center in Upatoi, GA. DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES NPI is 1386879666. The provider is registered as an organization entity type.
The provider Is Doing Business As West Central Community Integration Home #1.

The provider's business location address is:

13260 UPATOI LN
UPATOI, GA
ZIP 31829-143
Phone: (706) 565-0770

The provider's authorized official is Heather Nix .
The authorized official title is Mh / Dd Team Leader and has the following contact phone number (706) 565-0770.

The enumeration date for this NPI number is 5/15/2009 and was last updated on 5/15/2009.

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)Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000870768FMEDICAIDGEORGIA

What is NPI?

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This page was last updated on: 3/30/2025

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