| Assertive Community Treatment Program | |
|
35 N Main St Patient Billing Dept Moultrie GA 31768-3861 | |
| (229) 227-2977 | |
| (229) 227-2955 |
| Full Name | Assertive Community Treatment Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 35 N Main St, Moultrie, Georgia |
| Authorized Official Name and Position | Hilary J Hoo-you (REGIONAL 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 S Pinetree Blvd Thomasville GA 31792-7128 Ph: (229) 227-2977 | Assertive Community Treatment Program 35 N Main St Patient Billing Dept Moultrie GA 31768-3861 Ph: (229) 227-2977 |
| NPI Number | 1902974025 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902974025 | NPI | - | NPPES |
| 00877236F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 581130678 (Georgia) | Primary |
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