Organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Active
Other names
Fresh Start
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET JORDAN (RCM MANAGER)
(229) 815-5454
Entity
Organization
Contact information
Practice address
83 GREEN ST, WARNER ROBINS, GA 31093-2635
(478) 988-1222
Mailing address
PO BOX 1348, AMERICUS, GA 31709-1348
(229) 815-5454
(229) 815-6606
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003212488A
—
GA
Enumeration date
01/18/2019
Last updated
01/13/2020
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