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1600 Watson Blvd Warner Robins GA 31093-3459 | |
| (478) 988-1002 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1600 Watson Blvd, Warner Robins, Georgia |
| Authorized Official Name and Position | Joyce Jackson (EXEC DIRECTOR) |
| Authorized Official Contact | 4789881002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
940 Ga Highway 96 Warner Robins GA 31088-2584 Ph: (478) 988-1002 | 1600 Watson Blvd Warner Robins GA 31093-3459 Ph: (478) 988-1002 |
| NPI Number | 1497834063 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497834063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
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