| Highland Rivers Womens Outreach - Tanf | |
|
6 Mathis Drive, Nw Suite A Rome GA 30165-1242 | |
| (706) 291-7201 | |
| (706) 291-7198 |
| Full Name | Highland Rivers Womens Outreach - Tanf |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6 Mathis Drive, Nw, Rome, Georgia |
| Authorized Official Name and Position | Jason Bearden (CEO) |
| Authorized Official Contact | 7062705000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Rivers Womens Outreach - Tanf 1401 Applewodd Drive Suite 1 Dalton GA 30720-2699 Ph: (706) 270-5002 | Highland Rivers Womens Outreach - Tanf 6 Mathis Drive, Nw Suite A Rome GA 30165-1242 Ph: (706) 291-7201 |
| NPI Number | 1861555450 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861555450 | NPI | - | NPPES |
| 1447256243 | Other | GA | ORGANIZATION MASTER NPI |
| 000759448P | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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