| Jeff Davis Behavioral Health Services | |
|
163 S Tallahassee St Hazlehurst GA 31539-6465 | |
| (912) 375-7781 | |
| (912) 375-4881 |
| Full Name | Jeff Davis Behavioral Health Services |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 163 S Tallahassee St, Hazlehurst, Georgia |
| Authorized Official Name and Position | Barry Bloom (CEO) |
| Authorized Official Contact | 9123757781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Davis Behavioral Health Services 163 S Tallahassee St Hazlehurst GA 31539-6465 Ph: (912) 375-7781 | Jeff Davis Behavioral Health Services 163 S Tallahassee St Hazlehurst GA 31539-6465 Ph: (912) 375-7781 |
| NPI Number | 1023593498 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023593498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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