Provider Demographics
NPI:1568841567
Name:UNION GENERAL AFFILIATED SERVICES, LLC
Entity Type:Organization
Organization Name:UNION GENERAL AFFILIATED SERVICES, LLC
Other - Org Name:CHATUGE BEHAVIORAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-439-6469
Mailing Address - Street 1:35 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-3139
Mailing Address - Country:US
Mailing Address - Phone:706-896-2222
Mailing Address - Fax:
Practice Address - Street 1:120 RIVER ST STE B
Practice Address - Street 2:
Practice Address - City:HIAWASSEE
Practice Address - State:GA
Practice Address - Zip Code:30546-3252
Practice Address - Country:US
Practice Address - Phone:706-896-7140
Practice Address - Fax:706-896-7141
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHATUGE REGIONAL HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-22
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty