Healthcare Provider Details

I. General information

NPI: 1306913736
Provider Name (Legal Business Name): UHS OF LAUREL HEIGHTS, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 BRIARCLIFF RD NE
ATLANTA GA
30306-2618
US

IV. Provider business mailing address

934 BRIARCLIFF RD NE
ATLANTA GA
30306-2618
US

V. Phone/Fax

Practice location:
  • Phone: 404-888-7860
  • Fax: 404-872-5088
Mailing address:
  • Phone: 404-888-7860
  • Fax: 404-872-5088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number044694
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number044588
License Number StateGA

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: SR VP CFO
Credential:
Phone: 610-768-3300