Second Nature Blue Ridge in Clayton - Residential Treatment Facility, Emotionally Disturbed Children
Second Nature Blue Ridge - NPI 1871706382
Second Nature Blue Ridge is a Residential Treatment Facility, Emotionally Disturbed Children in Clayton, Georgia. Second Nature Blue Ridge practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Second Nature Blue Ridge is 1871706382. The last update date is 2012-05-29.
Second Nature Blue Ridge's current location address is 236 File Street, Clayton, Georgia. You can contact this provider via phone number 7062122037 and fax number 7062120354. The mailing address for Second Nature Blue Ridge is 236 File Street, Clayton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Second Nature Blue Ridge |
|---|---|
| Address | 236 File Street, Clayton, Georgia |
| Phone Number | 7062122037 |
| Fax Number | 7062120354 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Evans Angie |
| Telephone Number | 8017666604 |
NPI Number Detail
| NPI Number | 1871706382 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2012-05-29 |
Provider Mailing Address Detail
| Address | 236 File Street |
|---|---|
| City | Clayton |
| State | Georgia (GA) |
| Post Code | 305253023 |
| Phone Number | 7062122037 |
| Fax Number | 7062120354 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 50017 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50017 | GA | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Second Nature Blue Ridge by the Centers for Medicare & Medicaid Services?
The Second Nature Blue Ridge has been assigned the NPI (National Provider Identifier) 1871706382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Second Nature Blue Ridge is physically located?
The Second Nature Blue Ridge is situated at the following address: 236 File Street, Clayton, GA 305253023.
What is Second Nature Blue Ridge's area of expertise and its corresponding taxonomy classification?
The Second Nature Blue Ridge's field of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871706382 to Second Nature Blue Ridge?
The Centers for Medicare & Medicaid Services originally issued the 1871706382 to Second Nature Blue Ridge on 2007-05-08.
As of what date were the details pertaining to Second Nature Blue Ridge last refreshed?
The information related to the Second Nature Blue Ridge, including its address, specialty, and other relevant details, was last updated on 2012-05-29.
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