SECOND NATURE BLUE RIDGE, LLC


Address: 236 File St., Clayton, GA 30525
Phone: 7062122037

SECOND NATURE BLUE RIDGE, LLC (NPI# 1427562750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427562750
Entity Type Organization
Organization Name SECOND NATURE BLUE RIDGE, LLC
Other Organization Name DBA BLUE RIDGE THERAPEUTIC WILDERNESS
Practice Address 236 File St.
Clayton
GA 30525
Mailing Address Po Box 809
Clayton
GA 30525
Practice Telephone 7062122037
Practice Fax Number 7062120354
Mailing Telephone 7062122037
Mailing Fax Number 7062120354
Enumeration Date 2017-11-22
Last Update Date 2017-11-22
Authorized Official Name VANESSA ALLEN (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 7062122037
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility 50017-RCC GA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
DBA Blue Ridge Therapeutic Wilderness Doing Business As Name - Organization

Office Location

Street Address 236 FILE ST.
City CLAYTON
State GA
Zip Code 30525

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1053854752 Haley Vaughan Stapleton Nurse Practitioner 596 Mountain City Road, Clayton, GA 30525 2016-11-29
1154870533 Life Point Medical, LLC Clinic/Center 189 Bo James Street, Suite 105, Clayton, GA 30525 2016-09-27
1316239122 Jason A Bonner Pharmacist 1455 U.S. 441, Clayton, GA 30525 2011-05-11
1477842557 Clayton Therapy Center, LLC Marriage & Family Therapist 24 Chechero St, Suite 2, Clayton, GA 30525 2011-03-29
1891959672 Adams Hearing Aid Specialists Hearing Instrument Specialist 91 E Savannah Place, Clayton, GA 30525 2008-07-11
1578721494 Lawrence M Gillespie Dentist 436 Warwoman Road, Clayton, GA 30525 2008-05-28
1336262112 Clayton Family Eye Care PC Optometrist 50 Earl St., Suite A, Clayton, GA 30525 2007-04-09
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952925190 Nvw Newco LLC Psychiatric Residential Treatment Facility 311 North Main Street, Clayton, GA 30525 2020-06-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811530645 Discovery Practice Management, Inc. Psychiatric Residential Treatment Facility 3390 Peachtree Rd Ne Ste 1150, Atlanta, GA 30326-2821 2019-10-24
1134694524 Rep Perimeter Holdings, LLC Psychiatric Residential Treatment Facility 2520 Northwinds Pkwy Ste 550, Alpharetta, GA 30009-2236 2018-10-11
1831633759 Discovery Practice Management, Inc Psychiatric Residential Treatment Facility 1364 Manget Way, Atlanta, GA 30338-4810 2016-12-12
1083987234 Naja Personal Care, Inc. Psychiatric Residential Treatment Facility 935 Donington Cir, Lawrenceville, GA 30045-3581 2012-02-20
1932472180 Royal Cottage Inc Psychiatric Residential Treatment Facility 65 Stoney Point Ter, Covington, GA 30014-7070 2012-02-20
1033482369 A Place for Comfort LLC Psychiatric Residential Treatment Facility 1766 Big Valley Ln, Stone Mountain, GA 30083-5712 2012-02-16
1346512555 Praying Hands Incorporated Psychiatric Residential Treatment Facility 1385 Harris Rd, Lawrenceville, GA 30043-3910 2012-02-02
1730475799 Onyi Agnes Chimaobi Psychiatric Residential Treatment Facility 2326 Magaw Ln, Powder Springs, GA 30127-5629 2011-06-28
1407158231 Mcknight Personal Care Home Inc Psychiatric Residential Treatment Facility 3045 Carriage Trl, Jonesboro, GA 30236-6835 2010-11-30
1588861876 Ramsay Youth Services of Georgia Psychiatric Residential Treatment Facility 3500 Riverside Drive, Macon, GA 31210-0000 2007-06-29
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Competitor

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City CLAYTON
Zip Code 30525

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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