| Reliance Treatment Center | |
|
201 Donehoo St Statesboro GA 30458-5120 | |
| (912) 489-7827 | |
| (912) 225-3791 |
| Full Name | Reliance Treatment Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 201 Donehoo St, Statesboro, Georgia |
| Authorized Official Name and Position | Loraine E Scott (OFFICE MANAGER) |
| Authorized Official Contact | 9124897827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Treatment Center 201 Donehoo St Statesboro GA 30458-5120 Ph: (912) 489-7827 | Reliance Treatment Center 201 Donehoo St Statesboro GA 30458-5120 Ph: (912) 489-7827 |
| NPI Number | 1932643939 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 12/09/2016 |
| Medicare PECOS PAC ID | 4688009491 |
|---|---|
| Medicare Enrollment ID | O20200123002224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932643939 | NPI | - | NPPES |
| NTP001063 | Other | GA | NTC LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NTP001063 (Georgia) | Primary |
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