| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 108 E 5th St, Alma, Georgia |
| Authorized Official Name and Position | Glyn Thomas (CEO) |
| Authorized Official Contact | 9124497103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1007 Mary St Waycross GA 31503-3823 Ph: (912) 449-7109 | 108 E 5th St Alma GA 31510-2308 Ph: (912) 449-7109 |
| NPI Number | 1295044030 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 10/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295044030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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