Alaris Behavioral Services, P.c. | |
110 Habersham Dr Suite 146 Fayetteville GA 30214-1381 | |
(770) 371-5110 | |
(678) 500-6797 |
Full Name | Alaris Behavioral Services, P.c. |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 110 Habersham Dr, Fayetteville, Georgia |
Authorized Official Name and Position | Linda R. Neale (PRESIDENT/MEDICAL DIRECTOR) |
Authorized Official Contact | 7707164117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alaris Behavioral Services, P.c. 110 Habersham Dr Suite 146 Fayetteville GA 30214-1381 Ph: (770) 371-5110 | Alaris Behavioral Services, P.c. 110 Habersham Dr Suite 146 Fayetteville GA 30214-1381 Ph: (770) 371-5110 |
NPI Number | 1366619652 |
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Provider Enumeration Date | 05/15/2008 |
Last Update Date | 07/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366619652 | NPI | - | NPPES |
202G700593 | Other | GA | MEDICARE PTAN |
000891349E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 49070 (Georgia) | Primary |
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