| Cord Of Three Counseling Services, Inc. | |
|
5920 Reese St Patterson GA 31557-5131 | |
| (912) 282-0992 | |
| (912) 647-0510 |
| Full Name | Cord Of Three Counseling Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5920 Reese St, Patterson, Georgia |
| Authorized Official Name and Position | Clay D. Gill (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9122820992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cord Of Three Counseling Services, Inc. Po Box 151 Patterson GA 31557-0151 Ph: (912) 282-0992 | Cord Of Three Counseling Services, Inc. 5920 Reese St Patterson GA 31557-5131 Ph: (912) 282-0992 |
| NPI Number | 1316230899 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316230899 | NPI | - | NPPES |
| 003104129A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 004088 (Georgia) | Primary |