Provider Demographics
NPI:1821709981
Name:CHRISTINE J PAGE INSTITUTE CORP
Entity Type:Organization
Organization Name:CHRISTINE J PAGE INSTITUTE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-899-0648
Mailing Address - Street 1:2205 RIVERSTONE BLVD STE 251
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-5254
Mailing Address - Country:US
Mailing Address - Phone:770-897-6327
Mailing Address - Fax:866-520-0401
Practice Address - Street 1:2205 RIVERSTONE BLVD STE 251
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-5254
Practice Address - Country:US
Practice Address - Phone:770-899-0648
Practice Address - Fax:866-520-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health