| Savannah Area Behavioral Health Collabortive | |
|
17 Minis Ave Garden City GA 31408-2006 | |
| (912) 966-3782 | |
| (912) 963-2532 |
| Full Name | Savannah Area Behavioral Health Collabortive |
|---|---|
| Speciality | Social Worker |
| Location | 17 Minis Ave, Garden City, Georgia |
| Authorized Official Name and Position | Jacquilin Reynolds (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9129663782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Savannah Area Behavioral Health Collabortive 17 Minus Avenue Garden City GA 31408-2006 Ph: (912) 966-3782 | Savannah Area Behavioral Health Collabortive 17 Minis Ave Garden City GA 31408-2006 Ph: (912) 966-3782 |
| NPI Number | 1568489904 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568489904 | NPI | - | NPPES |
| 305328035A | Medicaid | GA | |
| GRP6473 | Other | GA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | MSW003465 (Georgia) | Primary |
| 251S00000X | Community/behavioral Health | MSW003465 (Georgia) | Secondary |