Provider Demographics
NPI:1639268022
Name:GEORGE B. WEST MENTAL HEALTH FOUNDATION
Entity Type:Organization
Organization Name:GEORGE B. WEST MENTAL HEALTH FOUNDATION
Other - Org Name:SKYLAND TRAIL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:PADGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-315-8333
Mailing Address - Street 1:1903 N DRUID HILLS RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-4119
Mailing Address - Country:US
Mailing Address - Phone:404-315-8333
Mailing Address - Fax:404-315-9838
Practice Address - Street 1:1903 N DRUID HILLS RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319-4119
Practice Address - Country:US
Practice Address - Phone:404-315-8333
Practice Address - Fax:404-315-9838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness