Maribill Behavioral Health Services, Llc | |
2385 Wall St Se Conyers GA 30013-2187 | |
(770) 891-2170 | |
Not Available |
Full Name | Maribill Behavioral Health Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2385 Wall St Se, Conyers, Georgia |
Authorized Official Name and Position | William Thomas (CEO/PRESIDENT) |
Authorized Official Contact | 7708912170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maribill Behavioral Health Services, Llc 2385 Wall St Se Conyers GA 30013-2187 Ph: (770) 891-2170 | Maribill Behavioral Health Services, Llc 2385 Wall St Se Conyers GA 30013-2187 Ph: (770) 891-2170 |
NPI Number | 1740503242 |
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Provider Enumeration Date | 03/11/2010 |
Last Update Date | 03/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740503242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 10018261 (Georgia) | Primary |
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