COASTAL HARBOR TREATMENT CENTER
NPI 1073064564
Psychiatric Residential Treatment Facility in Savannah, GA

Active since October 19, 2016CLIA 11D0264847 · Waiver
1150 CORNELL AVE, SAVANNAH, GA 31406(912) 354-3911(912) 355-1336 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Coastal Harbor Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL HARBOR TREATMENT CENTER (NPI 1073064564) is a healthcare organization registered as a psychiatric residential treatment facility in Savannah, Georgia and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sally Perry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073064564
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameUHS OF SAVANNAH, LLC
Location Address1150 CORNELL AVESavannah, GA 31406-2702
Mailing Address1150 Cornell AveSavannah, GA 31406-2702 · (912) 354-3911 · Fax (912) 355-1336
Fax(912) 355-1336
Organization SubpartYesParent: Uhs
Authorized OfficialSally PerryCeo · (912) 354-3911
Enumeration DateOctober 19, 2016
NPI 1073064564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in GA · 025618
Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

1150 CORNELL AVE, Savannah, GA 31406

Other Names 1

Doing Business AsCoastal Harbor Treatment Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0264847

Uhs Of Savannah, LLC · Savannah, GA
Active · expires Aug 31, 2026
CLIA Number11D0264847
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Reemon Bishara
Laboratory Phone(912) 354-3911
Laboratory LocationUhs Of Savannah, LLC1150 Cornell Ave, Savannah, GA 31406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1150 CORNELL AVE
SAVANNAH, GA 31406
Marriage & Family Therapist
1150 CORNELL AVE
SAVANNAH, GA 31406
Psychiatry & Neurology (Psychiatry)
1150 CORNELL AVE
SAVANNAH, GA 31406
Psychiatric Hospital
1150 CORNELL AVE
SAVANNAH, GA 31406
Nurse Practitioner (Family)
1150 CORNELL AVE
SAVANNAH, GA 31406
Psychiatry & Neurology (Psychiatry)
1150 CORNELL AVE
SAVANNAH, GA 31406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073064564, enumerated as an "organization" on October 19, 2016.

The provider is located at 1150 CORNELL AVE SAVANNAH, GA 31406 and the phone number is (912) 354-3911.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.