An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
GA license #035652taxonomy 261QM0850X
Identifiers
Type
Value
Notes
01 (GA)
300766339
MAGELLAN
01 (GA)
3503338
AETNA
01 (GA)
52624445 006
BLUE CROSS BLUE SHIELD
05 (GA)
209235687A
01 (GA)
1545911
CAQH
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Azure for Health & Human Services
Type code 5recorded 2009-12-22
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 247 Clinic/Center providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.