# DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adolescent Transitional Living Program (Boys)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356351217
- **Authorized official:** MR. RICK GARCIA (SERVICE DIRECTOR)
- **Authorized official phone:** (706) 568-5118

## Contact information

- **Practice address:** 6126 ARNOLD DR, COLUMBUS, GA 31907-1904
- **Practice address phone:** (706) 507-3441
- **Mailing address:** 6126 ARNOLD DR, COLUMBUS, GA 31907-1904
- **Mailing address phone:** (706) 507-3441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | N/A-PER CALL TO NPI | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 05/15/2009