| Saint Joseph's Mercy Care - Decature Behavioral Health | |
|
424 Decatur St Se Atlanta GA 30312-1848 | |
| (678) 843-8600 | |
| (678) 843-8601 |
| Full Name | Saint Joseph's Mercy Care - Decature Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 424 Decatur St Se, Atlanta, Georgia |
| Authorized Official Name and Position | Earl Thomas Andrews (PRESIDENT) |
| Authorized Official Contact | 6788438502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Joseph's Mercy Care - Decature Behavioral Health 424 Decatur St Se Atlanta GA 30312-1848 Ph: (678) 843-8600 | Saint Joseph's Mercy Care - Decature Behavioral Health 424 Decatur St Se Atlanta GA 30312-1848 Ph: (678) 843-8600 |
| NPI Number | 1437525029 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437525029 | NPI | - | NPPES |
| 000649844I | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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