| Our Space Clubhouse | |
|
644 Blakely St Cuthbert GA 39840-5325 | |
| (229) 732-5050 | |
| (229) 732-5058 |
| Full Name | Our Space Clubhouse |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 644 Blakely St, Cuthbert, Georgia |
| Authorized Official Name and Position | Perry Alexander (CEO) |
| Authorized Official Contact | 7065965757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Space Clubhouse 2100 Comer Ave Columbus GA 31904-8725 Ph: (706) 596-5583 | Our Space Clubhouse 644 Blakely St Cuthbert GA 39840-5325 Ph: (229) 732-5050 |
| NPI Number | 1225368640 |
|---|---|
| Provider Enumeration Date | 01/07/2010 |
| Last Update Date | 01/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225368640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
New Horizons Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Villa Nova St, Cuthbert, GA 39840 Phone: 229-732-5276 | |
New Horizons Csb Rnadolph County Adult Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Villa Nova St, Cuthbert, GA 39840 Phone: 229-732-3981 Fax: 229-732-6621 | |
New Horizons Csb Randolph-clay County Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Villa Nova St, Cuthbert, GA 39840 Phone: 229-732-5276 Fax: 229-732-5090 |