Organization
PROJECT REBOUND INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. ALLEN HUD M.D. (PRESIDENT)
(706) 221-4830
Entity
Organization
Contact information
Practice address
1170 BROWN AVE STREET B, COLUMBUS, GA 31906
(706) 221-4830
Mailing address
2222 FRANCIS ST, COLUMBUS, GA 31906-2512
(706) 221-4830
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
062999
GA
104100000X
Social Worker
CSW003530
GA
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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