| Innovative Clinical Services | |
|
160 Kyndal Dr Hampton GA 30228-4862 | |
| (678) 826-6435 | |
| Not Available |
| Full Name | Innovative Clinical Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 Kyndal Dr, Hampton, Georgia |
| Authorized Official Name and Position | Seanlonda N. Cooley (CEO/OWNER) |
| Authorized Official Contact | 6788266435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Clinical Services 160 Kyndal Dr Hampton GA 30228-4862 Ph: () - | Innovative Clinical Services 160 Kyndal Dr Hampton GA 30228-4862 Ph: (678) 826-6435 |
| NPI Number | 1447522396 |
|---|---|
| Provider Enumeration Date | 02/07/2012 |
| Last Update Date | 02/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447522396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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