| Carnegie Behavioral Health Services, Llc | |
|
175 Carnegie Pl Ste 109 Fayetteville GA 30214-7903 | |
| (770) 716-6012 | |
| (770) 716-6013 |
| Full Name | Carnegie Behavioral Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 175 Carnegie Pl Ste 109, Fayetteville, Georgia |
| Authorized Official Name and Position | Jonathan D Hauser (MEMBER) |
| Authorized Official Contact | 7707166012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carnegie Behavioral Health Services, Llc 175 Carnegie Pl Ste 109 Fayetteville GA 30214-7903 Ph: (770) 716-6012 | Carnegie Behavioral Health Services, Llc 175 Carnegie Pl Ste 109 Fayetteville GA 30214-7903 Ph: (770) 716-6012 |
| NPI Number | 1497911234 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497911234 | NPI | - | NPPES |
| 000857095B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | PSY002374 (Georgia) | Primary |
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