| Clarvida | |
|
2000 Wynnton Rd Columbus GA 31906-2452 | |
| (706) 641-9663 | |
| Not Available |
| Full Name | Clarvida |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 2000 Wynnton Rd, Columbus, 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 2000 Wynnton Rd Columbus GA 31906-2452 Ph: (706) 641-9663 |
| NPI Number | 1508517848 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508517848 | 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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