NPI 1427562750

Second Nature Blue Ridge, LLC

Organisation Psychiatric Residential Treatment Facility Clayton, GA

Practice location

Address: 236 File St., Clayton, GA 30525
Phone: (706) 212-2037
Fax: (706) 212-0354
Mailing address: PO Box 809, Clayton, GA 30525

Authorised official

Name: Vanessa Allen
Title: Director of Operations
Phone: (706) 212-2037

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 50017-RCC (GA)

Other Psychiatric Residential Treatment Facility providers in Georgia →

Registry record

NPI: 1427562750
Entity type: Organization
NPI issued: 22 Nov 2017
Record last updated: 22 Nov 2017

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.