| 4fun, Inc | |
|
23439 Ga Highway 46 Pembroke GA 31321-8515 | |
| (912) 823-3183 | |
| Not Available |
| Full Name | 4fun, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23439 Ga Highway 46, Pembroke, Georgia |
| Authorized Official Name and Position | Vicki Nelson Belcher (PRESIDENT) |
| Authorized Official Contact | 9127646906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4fun, Inc 23439 Ga Highway 46 Pembroke GA 31321-8515 Ph: (912) 823-3183 | 4fun, Inc 23439 Ga Highway 46 Pembroke GA 31321-8515 Ph: (912) 823-3183 |
| NPI Number | 1376755595 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376755595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC003736 (Georgia) | Primary |
Gateway Bhs - Pembroke Adult Outpatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 E Industrial Blvd, Pembroke, GA 31321 Phone: 912-653-4151 Fax: 912-653-2886 |