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Organization
SOUTH WEST GEORGIA BEHAVIORAL HEALTH PROVIDER SERVICES INC.
Active
Organization
SOUTH WEST GEORGIA BEHAVIORAL HEALTH PROVIDER SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA JOHNSON CASHAW RN (ADMINISTRATOR/CEO)
(229) 376-9140
Entity
Organization
Contact information
Practice address
2211 GREENOCH AVE, 2211 GREENOCH, ALBANY, GA 31721-2054
(229) 376-2969
Mailing address
2211 GREENOCH AVE, 2211 GREENOCH, ALBANY, GA 31721-2054
(229) 376-9140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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