Organization
3DK INC-GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK E KIMBLE M.ED. (CEO)
(706) 495-2351
Entity
Organization
Contact information
Practice address
2903 GALAHAD, AUGUSTA, GA 30909
(706) 495-2351
Mailing address
2903 GALAHAD WAY, AUGUSTA, GA 30909-9147
(706) 495-2351
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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