| Solid Ground Behavioral Health Pc | |
|
24 Chechero St Ste 2 Clayton GA 30525-6181 | |
| (706) 963-0654 | |
| Not Available |
| Full Name | Solid Ground Behavioral Health Pc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 24 Chechero St Ste 2, Clayton, Georgia |
| Authorized Official Name and Position | Mary Keller (NURSE PRACTITIONER) |
| Authorized Official Contact | 7069630654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solid Ground Behavioral Health Pc 12244 Augusta Rd Unit 108 Lavonia GA 30553-1210 Ph: (706) 983-9411 | Solid Ground Behavioral Health Pc 24 Chechero St Ste 2 Clayton GA 30525-6181 Ph: (706) 963-0654 |
| NPI Number | 1033921390 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033921390 | NPI | - | NPPES |
| 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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