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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