Total Control Behavioral Health Center Llc | |
210 S 13th St Griffin GA 30224-2704 | |
(470) 204-7956 | |
(866) 217-7073 |
Full Name | Total Control Behavioral Health Center Llc |
---|---|
Speciality | Exclusive Provider Organization |
Location | 210 S 13th St, Griffin, Georgia |
Authorized Official Name and Position | Aaron Roquemore (OWNER) |
Authorized Official Contact | 4702047956 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Total Control Behavioral Health Center Llc 210 S 13th St Griffin GA 30224-2704 Ph: (470) 204-7956 | Total Control Behavioral Health Center Llc 210 S 13th St Griffin GA 30224-2704 Ph: (470) 204-7956 |
NPI Number | 1174071666 |
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Provider Enumeration Date | 09/14/2016 |
Last Update Date | 03/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174071666 | NPI | - | NPPES |
889079225B | Medicaid | GA | |
889079225A | Medicaid | GA | |
003190902A | Medicaid | GA |
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