Organization Name: | SOUTHERN HEALTH CORPORATION OF DAHLONEGA, INC |
NPI Number: | 1437422888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY R JETER (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 227 Mountain Dr Dahlonega |
State: | GA US |
Postal Code: | 305331606 |
Phone Number: | 7068646136 |
Fax Number: | 7068641356 |
NPI Enumeration Date: | 02/15/2012 |
NPI Last Update Date: | 02/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 273R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Psychiatric Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians |