| Peachstate Behavioral Health Services | |
|
233 Davis Rd Suite G Augusta GA 30907-2499 | |
| (706) 726-4711 | |
| Not Available |
| Full Name | Peachstate Behavioral Health Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 233 Davis Rd, Augusta, Georgia |
| Authorized Official Name and Position | Julie Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7067264711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachstate Behavioral Health Services 2421 Central Ave Suite A Augusta GA 30904-6295 Ph: (706) 726-0365 | Peachstate Behavioral Health Services 233 Davis Rd Suite G Augusta GA 30907-2499 Ph: (706) 726-4711 |
| NPI Number | 1437488129 |
|---|---|
| Provider Enumeration Date | 12/09/2009 |
| Last Update Date | 12/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437488129 | NPI | - | NPPES |
| 281814287A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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