Greenridge Community Integration Home in Stone Mountain - Mental Health (including Community Mental Health Center)
Greenridge Community Integration Home - NPI 1023235587
Greenridge Community Integration Home is a Mental Health (including Community Mental Health Center) in Stone Mountain, Georgia. Greenridge Community Integration Home practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Greenridge Community Integration Home is 1023235587. The last update date is 2020-08-22.
Greenridge Community Integration Home's current location address is 508 Greenridge Cir, Stone Mountain, Georgia. You can contact this provider via phone number 4045869230. The mailing address for Greenridge Community Integration Home is 508 Greenridge Cir, Stone Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Greenridge Community Integration Home |
|---|---|
| Address | 508 Greenridge Cir, Stone Mountain, Georgia |
| Phone Number | 4045869230 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Salandy Ralph |
| Telephone Number | 4048190901 |
NPI Number Detail
| NPI Number | 1023235587 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 508 Greenridge Cir |
|---|---|
| City | Stone Mountain |
| State | Georgia (GA) |
| Post Code | 30083 |
| Phone Number | 4045869230 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | 44232 |
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Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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What is the unique provider identifier assigned to Greenridge Community Integration Home?
The Greenridge Community Integration Home has been issued the NPI (National Provider Identifier) 1023235587 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Greenridge Community Integration Home?
The Greenridge Community Integration Home is situated at 508 Greenridge Cir, in the city of Stone Mountain, state of GA, with the zip code 30083.
What is the Greenridge Community Integration Home's specialty and taxonomy code?
The Greenridge Community Integration Home's specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.
On what date did Greenridge Community Integration Home receive its 1023235587 assignment from the Centers for Medicare & Medicaid Services?
The Greenridge Community Integration Home was assigned its 1023235587 on 2007-04-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Greenridge Community Integration Home most recently updated or revised?
The details related to Greenridge Community Integration Home, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.