Georgia Behavioral Campus Llc

LBN: Georgia Behavioral Campus Llc
Georgia Behavioral Campus Llc is an health care organization with primary practice located at 211 Goose Hollow Rd Bldg I , Reynolds GA 31076-3505. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Georgia Behavioral Campus Llc can be contacted via phone (678) 769-6594, or through Blacklock, Amber via phone (678) 769-6594.

Contact Information

Primary practice address
211 Goose Hollow Rd Bldg I Reynolds GA 31076-3505
Phone: (678) 769-6594
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blacklock, Amber
Phone: (678) 769-6594

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1770343584
LBN Legal business name Georgia Behavioral Campus Llc
DBA Doing business as
Authorized official Blacklock, Amber
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2024
Last updated Mar 20th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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