| Tranquility Health Incorporated | |
|
113 Upper Riverdale Road Riverdale GA 30274 | |
| (770) 727-2943 | |
| (866) 864-3408 |
| Full Name | Tranquility Health Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 113 Upper Riverdale Road, Riverdale, Georgia |
| Authorized Official Name and Position | Camelia Douglas (CEO) |
| Authorized Official Contact | 7707272943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Health Incorporated 2220 Johnson Creek Drive Lithonia GA 30058 Ph: (770) 727-2943 | Tranquility Health Incorporated 113 Upper Riverdale Road Riverdale GA 30274 Ph: (770) 727-2943 |
| NPI Number | 1023242096 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 11/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023242096 | NPI | - | NPPES |
| 325002605A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
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