| The Regeneration Project | |
|
378 Tabor Rd Fort Valley GA 31030-6024 | |
| (478) 971-4684 | |
| Not Available |
| Full Name | The Regeneration Project |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 378 Tabor Rd, Fort Valley, Georgia |
| Authorized Official Name and Position | Brenda Williams (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4789714684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Regeneration Project 378 Tabor Rd Fort Valley GA 31030-6024 Ph: (478) 971-4684 | The Regeneration Project 378 Tabor Rd Fort Valley GA 31030-6024 Ph: (478) 971-4684 |
| NPI Number | 1114253416 |
|---|---|
| Provider Enumeration Date | 10/22/2009 |
| Last Update Date | 10/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114253416 | NPI | - | NPPES |
| 424986876A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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