GA DEPARTMENT OF HUMAN RESOURCES NPI 1730122482

NPI Information

GA DEPARTMENT OF HUMAN RESOURCES is a psychiatric hospital in Decatur, GA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. GA DEPARTMENT OF HUMAN RESOURCES NPI is 1730122482. The provider is registered as an organization entity type.
The provider Is Doing Business As Georgia Regional Hospital At Atlanta.

The provider's business location address is:

3073 PANTHERSVILLE ROAD
DECATUR, GA
ZIP 30034-828
Phone: (404) 243-2158
Fax: (404) 243-2159

The provider's authorized official is Sonny Slate .
The authorized official title is Chief Operations Officer and has the following contact phone number (404) 243-2121.

The CLIA number assigned to this NPI record is 11D2192424 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 5/12/2010.

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:

Other Identifiers

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

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