| Step Up On Second Street-savannah | |
|
107 Southern Blvd Ste 102 Savannah GA 31405-7438 | |
| (470) 462-3330 | |
| Not Available |
| Full Name | Step Up On Second Street-savannah |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Southern Blvd Ste 102, Savannah, Georgia |
| Authorized Official Name and Position | David Mark Tavlin (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 3109855250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Up On Second Street-savannah 107 Southern Blvd Ste 102 Savannah GA 31405-7438 Ph: (470) 462-3330 | Step Up On Second Street-savannah 107 Southern Blvd Ste 102 Savannah GA 31405-7438 Ph: (470) 462-3330 |
| NPI Number | 1164164810 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164164810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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