| Intervention And Prevention Services, Inc. | |
|
128 1st St E Suite # 226 Tifton GA 31794-4866 | |
| (229) 386-2100 | |
| (229) 387-7900 |
| Full Name | Intervention And Prevention Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 128 1st St E, Tifton, Georgia |
| Authorized Official Name and Position | Caroline G Day (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2294022532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intervention And Prevention Services, Inc. 128 1st St E Suite # 226 Tifton GA 31794-4866 Ph: (229) 386-2100 | Intervention And Prevention Services, Inc. 128 1st St E Suite # 226 Tifton GA 31794-4866 Ph: (229) 386-2100 |
| NPI Number | 1780874008 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 08/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780874008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LPC003534 (Georgia) | Primary |
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