| Grn: Community Service Boards | |
|
101 Kirkland Rd Covington GA 30016-3317 | |
| (770) 784-0076 | |
| (770) 784-3036 |
| Full Name | Grn: Community Service Boards |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Kirkland Rd, Covington, Georgia |
| Authorized Official Name and Position | Adelene Traylor (SSTSR) |
| Authorized Official Contact | 7707840076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grn: Community Service Boards 101 Kirkland Rd Covington GA 30016-3317 Ph: (770) 784-0076 | Grn: Community Service Boards 101 Kirkland Rd Covington GA 30016-3317 Ph: (770) 784-0076 |
| NPI Number | 1639478688 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639478688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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