| Moving Spirit Foundation Inc. | |
|
113b E County Rd Thomaston GA 30286-2233 | |
| (706) 938-8008 | |
| Not Available |
| Full Name | Moving Spirit Foundation Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 113b E County Rd, Thomaston, Georgia |
| Authorized Official Name and Position | Jerica L. Mccrary (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7069388008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Spirit Foundation Inc. 116 David Dr Thomaston GA 30286-2227 Ph: (706) 938-8008 | Moving Spirit Foundation Inc. 113b E County Rd Thomaston GA 30286-2233 Ph: (706) 938-8008 |
| NPI Number | 1962972075 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962972075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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