NPI age
19 years
Enumerated 2006-12-18
Across 2449 active community/behavioral health providers in Georgia.
14 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10064018 | AMERIGROUP PROVIDER ID |
| 05 (GA) | 000759448Q | |
| 01 (GA) | 815526000 | MAGELLAN BEHAVIORAL HEALTH ID |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 14 individual providers on file at this primary address.
Subpart of Highland Rivers Center, Csb.
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