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Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BARRETT (ADMINISTRATIVE ASSISTANT TO CCO)
(229) 671-6129
Entity
Organization
Contact information
Practice address
201 W MCPHERSON AVE, NASHVILLE, GA 31639-2131
(229) 671-6100
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6198
(229) 671-6774
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26QM0801X
TAXONOMY
GA
Enumeration date
09/05/2018
Last updated
09/05/2018
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