| Greenridge Community Integration Home | |
|
508 Greenridge Cir Stone Mountain GA 30083 | |
| (404) 586-9230 | |
| Not Available |
| Full Name | Greenridge Community Integration Home |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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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