| NPI | 1174662720 |
|---|---|
| Doing Business As | PINEY RIDGE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROCHELLE GERBER A VP Of Administrative Services 470-554-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 000380592) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: MO 000380592) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MO 30888669) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MO 3088-11051) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MO 000380592) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-11-23 |