Organization
REDIRECT COUNSELING SERVICES INC
Active
Organization
REDIRECT COUNSELING SERVICES INC
Active
Other names
Redirect Driver Improvement Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA L MASHBURN ICADC, CCS (OWNER DIRECTOR)
(229) 293-0444
Entity
Organization
Contact information
Practice address
2031 BEMISS RD # A, VALDOSTA, GA 31602-3030
(229) 293-0444
(229) 253-0381
Mailing address
2031 A BEMISS ROAD, VALDOSTA, GA 31602
(229) 293-0444
(229) 253-0381
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
26001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26001
LEVEL ONE
GA
01
—
9140
RISK REDUCTION PROGRAM
GA
Enumeration date
04/26/2007
Last updated
08/22/2020
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