Organization · NPI-2

Cope Behavior Health, LLC

Community Based Residential Treatment Facility, Mental Illness · Atlanta, GA

NPI number1245665157
StatusActive
Last updated in NPPESFeb 14, 2024

Details

NPI
1245665157
Entity type
Organization (NPI-2)
Legal business name
Cope Behavior Health, LLC
Organization subpart
No
Enumeration date
Sep 10, 2013
Certification date
Feb 13, 2024
Last updated
Feb 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness–LAYes

Practice location

2302 Parklake Dr Ne Ste 370
Atlanta, GA 30345-2907

Phone 470-687-0700 · Fax 678-275-8160

Mailing address

2302 Parklake Dr Ne Ste 370
Atlanta, GA 30345-2907

Phone 470-687-0700 · Fax 678-275-8160

Authorized official

Mario Johnson
Owner
4706870700

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