Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ON-THE-CASE
Active OrganizationPsychiatric Residential Treatment Facility · MARTINEZ, GA
Registration Details
- NPI Number
- 1992902951
- Provider Type
- Organization
- NPI Issued
- Jul 2, 2007 (18.805596263774 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
R101799 (SC)R101799 (SC)R101799 (SC)R101799 (SC)R101799 (SC)
Practice Information
- Address
-
4115 COLUMBIA RDSUITE 5-324MARTINEZ, GA, 309070405Browse GA providers · Browse ZIP 30907
- Phone
- 7067930646
- Fax
- 7067930646
- Primary Specialty
-
Psychiatric Residential Treatment Facility
323P00000X
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
- Additional Specialty
- ICF/Individuals with Intellectual Disabilities
- Additional Specialty
- Intermediate Care Facility (ICF)
- Additional Specialty
- Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.