NPI 1518440254

Prime Healthcare Foundation - Southern Regional, LLC

Organisation Psychiatric Hospital Unit Riverdale, GA

Practice location

Address: 11 Upper Riverdale Rd SW, Riverdale, GA 30274-2615
Phone: (770) 991-8160
Fax: (770) 909-2595

Authorised official

Name: Christopher Doan
Title: Compliance Officer
Phone: (310) 259-4706

Registered specialties

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 031-710 (GA)

Other Psychiatric Unit providers in Georgia →

Registry record

NPI: 1518440254
Entity type: Organization
NPI issued: 10 Sep 2018
Record last updated: 10 Sep 2018

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.