| New Foundations Youth Center, Inc | |
|
5310 Golf Dr Lake Park GA 31636-3335 | |
| (229) 412-3452 | |
| Not Available |
| Full Name | New Foundations Youth Center, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5310 Golf Dr, Lake Park, Georgia |
| Authorized Official Name and Position | Sharon Sirmons (OWNER) |
| Authorized Official Contact | 2294123452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Foundations Youth Center, Inc Po Box 173 Valdosta GA 31603-0173 Ph: (229) 412-3452 | New Foundations Youth Center, Inc 5310 Golf Dr Lake Park GA 31636-3335 Ph: (229) 412-3452 |
| NPI Number | 1093362345 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093362345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Institute For Family Systems Support Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 West Collins Ave, Lake Park, GA 31636 Phone: 229-559-8597 Fax: 229-559-7760 | |
Graceful Behavior Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Jackson Cir, Lake Park, GA 31636 Phone: 229-630-2086 |