| Choices,legacy,ilp | |
|
396 Elks Club Rd Covington GA 30014-4036 | |
| (770) 784-9310 | |
| (770) 787-7764 |
| Full Name | Choices,legacy,ilp |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 396 Elks Club Rd, Covington, Georgia |
| Authorized Official Name and Position | Cindy A Simpson (DIRECTOR) |
| Authorized Official Contact | 7707849310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choices,legacy,ilp Po Box 2447 Covington GA 30015-7447 Ph: (770) 784-9310 | Choices,legacy,ilp 396 Elks Club Rd Covington GA 30014-4036 Ph: (770) 784-9310 |
| NPI Number | 1730383134 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730383134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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