| Georgia Pines Community Service Board | |
|
3120 N Oak Street Ext Suite B Valdosta GA 31602-5909 | |
| (229) 225-4335 | |
| (229) 225-4374 |
| Full Name | Georgia Pines Community Service Board |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3120 N Oak Street Ext, Valdosta, Georgia |
| Authorized Official Name and Position | Robert H Jones (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2292254373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Pines Community Service Board 1102 Smith Ave Thomasville GA 31792-5739 Ph: (229) 225-4335 | Georgia Pines Community Service Board 3120 N Oak Street Ext Suite B Valdosta GA 31602-5909 Ph: (229) 225-4335 |
| NPI Number | 1972943389 |
|---|---|
| Provider Enumeration Date | 06/29/2013 |
| Last Update Date | 06/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972943389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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