HAVEN BEHAVIORAL SENIOR CARE AT SOUTH FULTON MEDICAL CENTER - NPI 1639318785

Q: What is the provider's specialty?

The provider's specialty is Psychiatric Hospital with taxonomy code 283Q00000X.

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About Haven Behavioral Senior Care At South Fulton Medical Center NPPES

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

HAVEN BEHAVIORAL SENIOR CARE AT SOUTH FULTON MEDICAL CENTER (NPI 1639318785) is a healthcare organization registered as a psychiatric hospital in East Point, Georgia and active in the NPI registry since February 2009. The organization lists Kirk D. Mcconnell, Vice President, as its authorized official.

NPPES Registry Identity

NPI1639318785

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NameHAVEN BEHAVIORAL SERVICES OF SOUTH ATLANTA, LLC

Location Address1170 CLEVELAND AVEEast Point, GA 30344-3615

Mailing Address652 W Iris DrNashville, TN 37204-3191 · (615) 250-9500 · Fax (615) 250-9515

Phone(404) 209-8700

Fax(404) 209-8555

Organization SubpartYesParent: Haven Behavioral Services, Llc

Authorized OfficialKirk D. McconnellVice President · (615) 250-9160

Enumeration DateFebruary 12, 2009

✔ NPI 1639318785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

1170 CLEVELAND AVE, East Point, GA 30344

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