Adolescent Transitional Living Program (boys) | |
6126 Arnold Dr Columbus GA 31907-1904 | |
(706) 507-3441 | |
Not Available |
Full Name | Adolescent Transitional Living Program (boys) |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 6126 Arnold Dr, Columbus, Georgia |
Authorized Official Name and Position | Rick Garcia (SERVICE DIRECTOR) |
Authorized Official Contact | 7065685118 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adolescent Transitional Living Program (boys) 6126 Arnold Dr Columbus GA 31907-1904 Ph: (706) 507-3441 | Adolescent Transitional Living Program (boys) 6126 Arnold Dr Columbus GA 31907-1904 Ph: (706) 507-3441 |
NPI Number | 1356351217 |
---|---|
Provider Enumeration Date | 08/09/2006 |
Last Update Date | 05/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356351217 | NPI | - | NPPES |
000870768E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | N/A-PER CALL TO NPI (* (Not Available)) | Primary |
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