NPI age
19 years
Enumerated 2007-01-23
● Active Type 2 · Organization
Habersham Retreat, Inc
Habersham Retreat, Inc is 1 of 205 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moore
C.e.o.
Last NPPES update
2017-11-14
Source: monthly bulk 2026-05
How this organization compares
Across 205 active clinic/center providers in Georgia.
NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
258 Park Ave
Baldwin, GA 305112329
Mailing address
258 Park Ave
Baldwin, GA 305112329
Authorized official
Brad L Moore
C.e.o.
📞 7067781749
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00316346F | |
| 05 (GA) | 00316346B | |
| 05 (GA) | 00316346D | |
| 05 (GA) | 00316346C | |
| 05 (GA) | 00316346A | |
| 05 (GA) | 00316346E |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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