Clementine Atlanta

LBN: Monte Nido Georgia Llc
Clementine Atlanta is an health care organization with primary practice located at 124 Johnson Ferry Rd Ne , Sandy Springs GA 30328-3004. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Monte Nido Georgia Llc can be contacted via phone (305) 663-1876, or through Bagley, Mike via phone (305) 663-1876.

Contact Information

Primary practice address
124 Johnson Ferry Rd Ne Sandy Springs GA 30328-3004
Phone: (305) 663-1876
Fax: (786) 359-4485
Website:
Map and Directions
Authorized official contact:
Name: Bagley, Mike
Phone: (305) 663-1876

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1275161192
LBN Legal business name Monte Nido Georgia Llc
DBA Doing business as Clementine Atlanta
Authorized official Bagley, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2020
Last updated Feb 22nd, 2023 - about last year

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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