Organization
HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
Active
Organization
HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
Active
Other names
Jeff Davis Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY BLOOM (CEO)
(912) 375-7781
Entity
Organization
Contact information
Practice address
163 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6465
(912) 375-7781
(912) 375-4881
Mailing address
163 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6465
(912) 375-7781
(912) 375-4881
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
06/23/2021
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