Advantage Behavioral Health Systems

Organization Active NPI Developmental Disabilities Clinic/Center · Madison, GA

NPI 1215420690 · NPPES record last updated Jun 11, 2018

Key facts

NPI
1215420690
Entity type
Organization (NPI type 2)
Primary specialty
Developmental Disabilities Clinic/Center 261QD1600X
Legal business name
ADVANTAGE BEHAVIORAL HEALTH SYSTEMS
Practice address
1801 Prospect Rd.
Madison, GA 30650
Phone
(706) 389-6789
Fax
(706) 389-6768
NPI assigned
Jun 11, 2018
Organization subpart
Yes
Parent organization (as reported)
ADVANTAGE BEHAVIORAL HEALTH SYSTEMS

Authorized official

Name
Mr. Oliver J Booker
Title
Ceo
Phone
(706) 389-6789

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
True Comfort Care Home 6 (59 organizations share this tax ID)
Part of
True Comfort Care Home 6

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X GA Yes

Addresses

Primary practice location

1801 Prospect Rd.
Madison, GA 30650

Mailing address

250 North Ave
Athens, GA 30601-2244
Phone (706) 389-6789

Other identifiers

IdentifierTypeStateIssuer
000631562FKMedicaidGA

Other providers in Madison, GA

All providers in Madison, GA · Developmental Disabilities Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.