NPI | 1457454514 |
---|---|
Doing Business As | RIVER EDGE BEHAVIORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | BRYAN LAYMAN Phcy Director/PIC 478-803-7650 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE005543) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy Clinic Pharmacy | |
Enumeration Date | 2006-09-06 |
Last Update Date | 2017-01-17 |