| Lighthouse Adult Crisis Stabilization Program | |
|
3000 Schatulga Rd Columbus GA 31907-3117 | |
| (706) 568-5174 | |
| Not Available |
| Full Name | Lighthouse Adult Crisis Stabilization Program |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3000 Schatulga Rd, Columbus, Georgia |
| Authorized Official Name and Position | Gwendolyn G. Mcintosh (SERVICE PROVIDER) |
| Authorized Official Contact | 7065681678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Adult Crisis Stabilization Program 3000 Schatulga Rd Columbus GA 31907-3117 Ph: (706) 568-5174 | Lighthouse Adult Crisis Stabilization Program 3000 Schatulga Rd Columbus GA 31907-3117 Ph: (706) 568-5174 |
| NPI Number | 1801920483 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801920483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | NONE (* (Not Available)) | Primary |
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