Provider Demographics
NPI:1891246757
Name:UHS OF SAVANNAH, LLC
Entity Type:Organization
Organization Name:UHS OF SAVANNAH, LLC
Other - Org Name:COASTAL HARBOR TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:912-354-3911
Mailing Address - Street 1:1150 CORNELL AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2702
Mailing Address - Country:US
Mailing Address - Phone:912-354-3911
Mailing Address - Fax:912-355-1336
Practice Address - Street 1:1150 CORNELL AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2702
Practice Address - Country:US
Practice Address - Phone:912-354-3911
Practice Address - Fax:912-355-1336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0256182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty