| Nichols Center, Inc | |
|
6534 Spring St Douglasville GA 30134-1888 | |
| (404) 736-2267 | |
| Not Available |
| Full Name | Nichols Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6534 Spring St, Douglasville, Georgia |
| Authorized Official Name and Position | Tara Nichols (CEO) |
| Authorized Official Contact | 4047362267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nichols Center, Inc 6534 Spring St Douglasville GA 30134-1888 Ph: (404) 736-2267 | Nichols Center, Inc 6534 Spring St Douglasville GA 30134-1888 Ph: (404) 736-2267 |
| NPI Number | 1841980208 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841980208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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