Provider Demographics
NPI:1588861876
Name:RAMSAY YOUTH SERVICES OF GEORGIA
Entity type:Organization
Organization Name:RAMSAY YOUTH SERVICES OF GEORGIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SRVP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-768-3300
Mailing Address - Street 1:3500 RIVERSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-0000
Mailing Address - Country:US
Mailing Address - Phone:478-477-3829
Mailing Address - Fax:478-314-1728
Practice Address - Street 1:3500 RIVERSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-0000
Practice Address - Country:US
Practice Address - Phone:478-477-3829
Practice Address - Fax:478-314-1728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA011-615323P00000X
GA011-657273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA372803396AMedicaid
GA372803396Medicaid