NPI 1730122482
Ga Department of Human Resources
Practice location
- Address
- 3073 Panthersville Road, Decatur, GA 30034-3828
- Phone
- (404) 243-2158
- Fax
- (404) 243-2159
- Mailing address
- P.O. Box 370407, Decatur, GA 30034-3828
Authorised official
- Name
- Sonny Slate
- Title
- Chief Operations Officer
- Phone
- (404) 243-2121
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1730122482
- Entity type
- Organization
- NPI issued
- 13 Jun 2006
- Record last updated
- 12 May 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.