| River Edge Behavioral Health Center | |
|
952 Main St Jeffersonville GA 31044-3727 | |
| (478) 751-4507 | |
| Not Available |
| Full Name | River Edge Behavioral Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 952 Main St, Jeffersonville, Georgia |
| Authorized Official Name and Position | Emily Beth Tyler (CFO) |
| Authorized Official Contact | 4787523231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Edge Behavioral Health Center 175 Emery Hwy Macon GA 31217-3692 Ph: (478) 751-4507 | River Edge Behavioral Health Center 952 Main St Jeffersonville GA 31044-3727 Ph: (478) 751-4507 |
| NPI Number | 1023204864 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023204864 | NPI | - | NPPES |
| 00604194N | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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