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River Edge Behavioral Health Center

Community/Behavioral Health in Macon, GA. Organization (NPI-2).

NPI number1104776012
StatusActive
Last updated in NPPESJan 30, 2026

Details

NPI
1104776012
Entity type
Organization (NPI-2)
Legal business name
River Edge Behavioral Health Center
Organization subpart
No
Enumeration date
Jan 30, 2026
Certification date
Jan 29, 2026
Last updated
Jan 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

2016 Ingleside Avenue
Macon, GA 31204-6502

Phone 478-803-7700

Mailing address

175 Emery Hwy
Macon, GA 31217-3692

Phone 478-803-7700

Authorized official

Jessica Oakes
Director Of Billing
4788037809

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