Cityside Healthcare
Community/Behavioral Health in Atlanta, GA. Organization (NPI-2).
NPI number1124356324
StatusActive
Last updated in NPPESSep 26, 2012
Details
- NPI
- 1124356324
- Entity type
- Organization (NPI-2)
- Legal business name
- Cityside Healthcare
- Organization subpart
- No
- Enumeration date
- Nov 27, 2009
- Last updated
- Sep 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | GA | Yes |
Practice location
4502 Parkview SqAtlanta, GA 30349-9408
Phone 404-768-0440 · Fax 404-768-0412
Mailing address
950 Dannon Vw SwSuite 4103
Atlanta, GA 30331-2160
Phone 404-557-7186 · Fax 404-941-2657
Authorized official
Omar U. Green
Ceo
4045577186
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All 331 Community/Behavioral Health Agency providers in Atlanta · All 39,648 providers in Atlanta
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