institution
Melody Black Llc
Community/Behavioral Health Agency in Peachtree City, Georgia
NPI 1508120916

Melody Black Llc is a Community/Behavioral Health Agency based in Peachtree City, GA. Melody Black Llc practices in Peachtree City, GA. The NPI Number for Melody Black Llc is 1508120916 and holds a License No. 006648 (Georgia).

The current practice location address for Melody Black Llc is 823 Ridgefield Dr, Peachtree City, GA and can be reached out via phone at 770-789-0274 and via fax at 086-658-8441.

Location: 823 Ridgefield Dr, Peachtree City, GA, 30269-2510
institution
Provider Profile Details
NPI Number
1508120916
Provider Name
Melody Black Llc
Credential
Provider Entity Type
Organization
Address
823 Ridgefield Dr, Peachtree City, GA, 30269-2510
Phone Number
770-789-0274
Fax Number
086-658-8441
Provider Enumeration Date
06/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003119695A 05 GA
institution
Provider Business Practice Location Address Details
Address
823 Ridgefield Dr
City
State
Zip
30269-2510
Phone Number
770-789-0274
Fax Number
086-658-8441
person
Provider Business Mailing Address Details
Address
823 Ridgefield Dr
City
State
Zip
30269-2510
Phone Number
770-789-0274
Fax Number
086-658-8441
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
006648 (Georgia)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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