| Georgia Behavioral Campus LLC | |
|
211 Goose Hollow Rd Bldg I Reynolds GA 31076-3505 | |
| (678) 769-6594 | |
| Not Available |
| Full Name | Georgia Behavioral Campus LLC |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 211 Goose Hollow Rd Bldg I, Reynolds, Georgia |
| Authorized Official Name and Position | Amber Blacklock (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 6787696594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Behavioral Campus LLC 211 Goose Hollow Rd Bldg I Reynolds GA 31076-3505 Ph: (678) 769-6594 | Georgia Behavioral Campus LLC 211 Goose Hollow Rd Bldg I Reynolds GA 31076-3505 Ph: (678) 769-6594 |
| NPI Number | 1770343584 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770343584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | () | Primary |
Georgia Center for Youth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Goose Hollow Rd, Reynolds, GA 31076 Phone: 478-847-2900 |
Georgia Recovery Campus,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Goose Hollow Rd, Reynolds, GA 31076 Phone: 478-663-2222 |