Provider Demographics
NPI:1992438667
Name:HIGHLAND RIVERS BEHAVIOR HEALTH
Entity type:Organization
Organization Name:HIGHLAND RIVERS BEHAVIOR HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:NORAGBON
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:770-704-1600
Mailing Address - Street 1:3830 S COBB DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-5532
Mailing Address - Country:US
Mailing Address - Phone:770-704-1600
Mailing Address - Fax:
Practice Address - Street 1:3830 S COBB DR SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-5532
Practice Address - Country:US
Practice Address - Phone:770-429-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health