Assertive Community Treatment Program | |
334 Tifton Eldorado Rd Tifton GA 31794-9497 | |
(229) 227-2977 | |
(229) 227-2955 |
Full Name | Assertive Community Treatment Program |
---|---|
Speciality | Community/behavioral Health |
Location | 334 Tifton Eldorado Rd, Tifton, 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 South Pinetree Blvd. P. O. Box 1378 Patient Billing Dept Thomasville GA 31799-1378 Ph: (229) 227-2977 | Assertive Community Treatment Program 334 Tifton Eldorado Rd Tifton GA 31794-9497 Ph: (229) 227-2977 |
NPI Number | 1720156508 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 08/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720156508 | NPI | - | NPPES |
00877236H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 581130678 (Georgia) | Primary |
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