Organization Name: | GENESIS BEHAVIORAL HEALTH AND COLLABORATIVE SERVICES, LLC |
NPI Number: | 1093890261 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YOLANDA MALONE-GILBERT (PROVIDER) |
Mailing Address: | 2340 Patrick Henry Pkwy Ste 225 Mcdonough |
State: | GA US |
Postal Code: | 302534214 |
Phone Number: | 7703898100 |
Fax Number: | 7703893030 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 02/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 050537 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |