Greenridge Community Integration Home | |
508 Greenridge Cir Stone Mountain GA 30083 | |
(404) 586-9230 | |
Not Available |
Full Name | Greenridge Community Integration Home |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 508 Greenridge Cir, Stone Mountain, Georgia |
Authorized Official Name and Position | Ralph Salandy (MANAGER) |
Authorized Official Contact | 4048190901 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Greenridge Community Integration Home 508 Greenridge Cir Stone Mountain GA 30083 Ph: (404) 586-9230 | Greenridge Community Integration Home 508 Greenridge Cir Stone Mountain GA 30083 Ph: (404) 586-9230 |
NPI Number | 1023235587 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1023235587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 044232 (Georgia) | Primary |
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