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RIVER EDGE BEHAVIORAL HEALTH CENTER NPI 1467965848


NPI Information

NPI: 1467965848
Provider Name: RIVER EDGE BEHAVIORAL HEALTH CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 11D0946618

Address:
7741 ROSWELL RD STE A
ATLANTA, GA
ZIP 30350
Phone: (478) 803-7646
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RIVER EDGE BEHAVIORAL HEALTH CENTER is a community behavioral health in Atlanta, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. RIVER EDGE BEHAVIORAL HEALTH CENTER NPI is 1467965848. The provider is registered as an organization entity type.

The provider's business location address is:

7741 ROSWELL RD STE A
ATLANTA, GA
ZIP 30350-845
Phone: (478) 803-7646
Fax: (478) 803-8598

The provider's authorized official is Miranda Herrington-nunez .
The authorized official title is Chief Clinical Officer and has the following contact phone number (478) 803-7758.

The CLIA number assigned to this NPI record is 11D0946618 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 11/8/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral 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: 4/28/2024

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