Individual provider · Type 1 NPI
Sharon Tyrell
Mental Illness Community Based Residential Treatment Facility · Hephzibah, GA
NPI number
1306221601
Active
Practice location
3387 Thames Pl
Hephzibah, GA 30815-7167
Mailing address
3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1306221601
Sharon Tyrell's National Provider Identifier is 1306221601, issued on Jul 28, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Hephzibah, GA. The record was last updated on Jul 28, 2015.