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1830 Walton Way Augusta GA 30904-3875 | |
| (336) 287-8764 | |
| (336) 722-1863 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1830 Walton Way, Augusta, Georgia |
| Authorized Official Name and Position | Christopher Stewart (CEO) |
| Authorized Official Contact | 3367221862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1830 Walton Way Augusta GA 30904-3875 Ph: (336) 287-8764 | 1830 Walton Way Augusta GA 30904-3875 Ph: (336) 287-8764 |
| NPI Number | 1952619207 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952619207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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