Organization
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
Active
Parent organization
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
Other names
Greenleaf Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
Authorized official
MR. GREG S HEMBREE (CHIEF FINANCIAL OFFICER)
(229) 259-4160
Entity
Organization
Contact information
Practice address
2209 PINEVIEW DR, VALDOSTA, GA 31602-7316
(229) 247-4357
(229) 244-6194
Mailing address
PO BOX 0070, ATTN: PFS DEPT, VALDOSTA, GA 31603-0070
(229) 247-4357
(229) 244-6194
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
92141
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
92141
GA
273R00000X
Psychiatric Hospital Unit
Primary
92141
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001724A
—
GA
01
—
HOSP24
CAHABA
GA
Enumeration date
05/15/2006
Last updated
05/09/2011
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