Organization
GRESHAM CONSULTING GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY L GRESHAM LCSW, LISW-CP, MAC, (DIRECTOR)
(706) 993-5186
Entity
Organization
Contact information
Practice address
2134 CHADWICK RD, AUGUSTA, GA 30906-5026
(706) 993-5186
Mailing address
PO BOX 15166, AUGUSTA, GA 30919-1166
(706) 993-5186
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
10117
SC
251S00000X
Community/Behavioral Health Agency
Primary
2457
GA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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