Childs St.

LBN: River Edge Behavioral Health Center
Childs St. is an health care organization with primary practice located at 151 Childs St , Gray GA 31032-5637. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. River Edge Behavioral Health Center can be contacted via phone (478) 751-4507, or through Tyler, Emily Beth via phone (478) 752-3231.

Contact Information

Primary practice address
151 Childs St Gray GA 31032-5637
Phone: (478) 751-4507
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tyler, Emily Beth
Phone: (478) 752-3231

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Georgia

Profile Details

NPI number 1487716577
LBN Legal business name River Edge Behavioral Health Center
DBA Doing business as Childs St.
Authorized official Tyler, Emily Beth
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1487716577 NPPES
Georgia MEDICAID 00604194J

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