Provider Demographics
NPI:1326352048
Name:BATES BEHAVIORAL SERVICE
Entity Type:Organization
Organization Name:BATES BEHAVIORAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-952-0925
Mailing Address - Street 1:1401 CARTER RD
Mailing Address - Street 2:P.O. BOX 136
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4608
Mailing Address - Country:US
Mailing Address - Phone:678-793-7331
Mailing Address - Fax:
Practice Address - Street 1:1401 CARTER RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-4608
Practice Address - Country:US
Practice Address - Phone:678-793-7331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health