| Assertive Community Treatment Program | |
|
819 Tillman St Patient Billing Dept Hahira GA 31632-1451 | |
| (229) 227-2977 | |
| (229) 227-2955 |
| Full Name | Assertive Community Treatment Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 819 Tillman St, Hahira, Georgia |
| Authorized Official Name and Position | Hilary J Hoo-you (REGTIONAL HOSPITAL ADMINISTRATOR) |
| Authorized Official Contact | 2292273020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assertive Community Treatment Program 400 South Pinetree Blvd P.o. Box 1378 Patient Billing Dept Thomasville GA 31792-1378 Ph: (229) 227-2977 | Assertive Community Treatment Program 819 Tillman St Patient Billing Dept Hahira GA 31632-1451 Ph: (229) 227-2977 |
| NPI Number | 1619045291 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619045291 | NPI | - | NPPES |
| 00877236G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 581130678 (Georgia) | Primary |
Amy H. Wells, Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5050 Coppage Rd, Hahira, GA 31632 Phone: 229-630-1941 | |
Ste Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5671 Boys Ranch Rd, Hahira, GA 31632 Phone: 229-560-2692 Fax: 229-794-0079 |