| Community Integration Home | |
|
13260 Upatoi Ln Upatoi GA 31829-2143 | |
| (706) 565-0770 | |
| Not Available |
| Full Name | Community Integration Home |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13260 Upatoi Ln, Upatoi, Georgia |
| Authorized Official Name and Position | Rick Garcia (SERVICE DIRECTOR) |
| Authorized Official Contact | 7065685118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Integration Home 13260 Upatoi Ln Upatoi GA 31829-2143 Ph: (706) 565-0770 | Community Integration Home 13260 Upatoi Ln Upatoi GA 31829-2143 Ph: (706) 565-0770 |
| NPI Number | 1689726614 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689726614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | NONE (* (Not Available)) | Primary |
West Central Community Integration Home #1 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13260 Upatoi Ln, Upatoi, GA 31829 Phone: 706-565-0770 |