Clarvida | |
1500 Champions Pines Ln Apt 416 Augusta GA 30909-5510 | |
(912) 706-8170 | |
Not Available |
Full Name | Clarvida |
---|---|
Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 1500 Champions Pines Ln Apt 416, Augusta, 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 |
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Clarvida 1727 Wrightsboro Rd Ste B Augusta GA 30904-4049 Ph: (706) 736-8170 | Clarvida 1500 Champions Pines Ln Apt 416 Augusta GA 30909-5510 Ph: (912) 706-8170 |
NPI Number | 1073264313 |
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Provider Enumeration Date | 01/18/2022 |
Last Update Date | 07/10/2024 |
Certification Date | 07/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073264313 | 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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