| Albany Area Csb | |
|
55 Re Jennings Ave Se Arlington GA 39813-8722 | |
| (229) 255-3067 | |
| Not Available |
| Full Name | Albany Area Csb |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 55 Re Jennings Ave Se, Arlington, Georgia |
| Authorized Official Name and Position | Eddie Williams (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 2294304005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albany Area Csb Po Box 1988 Albany GA 31702-1988 Ph: (229) 430-4005 | Albany Area Csb 55 Re Jennings Ave Se Arlington GA 39813-8722 Ph: (229) 255-3067 |
| NPI Number | 1164187464 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164187464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |