| Lifebrite Hospital Group Of Early Llc | |
|
11740 Columbia St Blakely GA 39823-2574 | |
| (229) 723-4841 | |
| Not Available |
| Full Name | Lifebrite Hospital Group Of Early Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 11740 Columbia St, Blakely, Georgia |
| Authorized Official Name and Position | Morgan Dunn (CEO) |
| Authorized Official Contact | 6018496440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebrite Hospital Group Of Early Llc 11740 Columbia St Blakely GA 39823-2574 Ph: () - | Lifebrite Hospital Group Of Early Llc 11740 Columbia St Blakely GA 39823-2574 Ph: (229) 723-4841 |
| NPI Number | 1205368792 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205368792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 049-667 (Georgia) | Primary |
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Pioneer Community Hospital Of Early Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11740 Columbia St, Blakely, GA 39823 Phone: 229-723-4258 |