| Clarvida | |
|
509 N Westover Blvd Albany GA 31707-1900 | |
| (229) 639-0477 | |
| Not Available |
| Full Name | Clarvida |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 509 N Westover Blvd, Albany, Georgia |
| Authorized Official Name and Position | Patrick Waters (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7062008677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 1727 Wrightsboro Rd Ste B Augusta GA 30904-4049 Ph: (706) 736-8170 | Clarvida 509 N Westover Blvd Albany GA 31707-1900 Ph: (229) 639-0477 |
| NPI Number | 1346021367 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346021367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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