Tinawane Family Services | |
5090 Alexander Ave Union City GA 30291-1140 | |
(404) 428-8038 | |
Not Available |
Full Name | Tinawane Family Services |
---|---|
Speciality | Community/behavioral Health |
Location | 5090 Alexander Ave, Union City, Georgia |
Authorized Official Name and Position | Retina Dawson-young (CEO) |
Authorized Official Contact | 4044288038 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tinawane Family Services 5090 Alexander Ave Union City GA 30291-1140 Ph: (404) 428-8038 | Tinawane Family Services 5090 Alexander Ave Union City GA 30291-1140 Ph: (404) 428-8038 |
NPI Number | 1740322635 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 02/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740322635 | NPI | - | NPPES |
10052853 | Other | GA | AMERIGROUP |
414894283A | Medicaid | GA | |
833749000 | Other | GA | MAGELLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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