Provider Demographics
NPI:1124207220
Name:UHS OF PEACHFORD LP
Entity Type:Organization
Organization Name:UHS OF PEACHFORD LP
Other - Org Name:PEACHFORD BEHAVIORAL HEALTH SYSTEM OF ATLANTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP
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:800-347-7750
Mailing Address - Street 1:367 S GULPH RD
Mailing Address - Street 2:ATTN. PATTI JONES
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3121
Mailing Address - Country:US
Mailing Address - Phone:610-768-3359
Mailing Address - Fax:
Practice Address - Street 1:2151 PEACHFORD RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6534
Practice Address - Country:US
Practice Address - Phone:770-455-3200
Practice Address - Fax:770-454-2349
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UHS OF PEACHFORD LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-25
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044-5962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP3956Medicare PIN