| Twin Cedars Youth Services, Inc | |
|
1022 E Depot St Lagrange GA 30241-3412 | |
| (706) 884-1717 | |
| (706) 884-8321 |
| Full Name | Twin Cedars Youth Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1022 E Depot St, Lagrange, Georgia |
| Authorized Official Name and Position | Michael J. Angstadt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7062980050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Cedars Youth Services, Inc 310 N Lewis St P.o. Box 1526 Lagrange GA 30240-2740 Ph: (706) 298-0050 | Twin Cedars Youth Services, Inc 1022 E Depot St Lagrange GA 30241-3412 Ph: (706) 884-1717 |
| NPI Number | 1215064332 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215064332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (Georgia) | Secondary |
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