Provider Demographics
NPI:1679992424
Name:NURSING & BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:NURSING & BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:FLAGG
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MPA, BS, DDP
Authorized Official - Phone:404-553-1929
Mailing Address - Street 1:4525 FLAT SHOALS PKWY
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-5038
Mailing Address - Country:US
Mailing Address - Phone:404-600-8675
Mailing Address - Fax:800-766-1168
Practice Address - Street 1:4525 FLAT SHOALS PKWY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-5038
Practice Address - Country:US
Practice Address - Phone:404-600-8675
Practice Address - Fax:800-766-1168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty