NPI 1235454257

Ga Department of Behavioral Health and Developmental Disabilities

Organisation Psychiatric Hospital Decatur, GA

Practice location

Address: 3073 Panthersville Rd, Decatur, GA 30034-3828
Phone: (404) 212-5454
Fax: (404) 243-2159
Mailing address: PO Box 370407, Decatur, GA 30037-0407

Authorised official

Name: Emile Risby
Title: Clinical Director
Phone: (404) 243-2114

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 044-232 (GA)

Other Psychiatric Hospital providers in Georgia →

Registry record

NPI: 1235454257
Entity type: Organization
NPI issued: 1 Apr 2010
Record last updated: 19 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.