GEORGE B. WEST MENTAL HEALTH FOUNDATION NPI 1639268022

NPI Information

NPI: 1639268022
Provider Name: GEORGE B. WEST MENTAL HEALTH FOUNDATION

Doing Business As: SKYLAND TRAIL

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

Address:
1903 N DRUID HILLS RD NE
ATLANTA, GA
ZIP 30319
Phone: (404) 315-8333
Get Directions

GEORGE B. WEST MENTAL HEALTH FOUNDATION is a community based residential treatment facility mental illness in Atlanta, GA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. GEORGE B. WEST MENTAL HEALTH FOUNDATION NPI is 1639268022. The provider is registered as an organization entity type.
The provider Is Doing Business As Skyland Trail.

The provider's business location address is:

1903 N DRUID HILLS RD NE
ATLANTA, GA
ZIP 30319-119
Phone: (404) 315-8333
Fax: (404) 315-9838

The provider's authorized official is Ricky Padgett .
The authorized official title is Director Of Finance and has the following contact phone number (404) 315-8333.

The CLIA number assigned to this NPI record is 11D1032109 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

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This page was last updated on: 11/14/2023

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