Inner Harbour

LBN: Youth Villages, Inc
Inner Harbour is an health care organization with primary practice located at 4685 Dorsett Shoals Rd , Douglasville GA 30135-4921. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Youth Villages, Inc can be contacted via phone (770) 942-2391, or through Alexander, Deneen M via phone (901) 251-4840.

Contact Information

Primary practice address
4685 Dorsett Shoals Rd Douglasville GA 30135-4921
Phone: (770) 942-2391
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Deneen M
Phone: (901) 251-4840

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1174694913
LBN Legal business name Youth Villages, Inc
DBA Doing business as Inner Harbour
Authorized official Alexander, Deneen M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Sep 1st, 2009 - about 16 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174694913 NPPES
Georgia MEDICAID 330507828B
Georgia MEDICAID 330507828A

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