Organization
HERITAGE FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA JONES PHD (EXECUTIVE DIRECTOR)
(229) 228-5545
Entity
Organization
Contact information
Practice address
2025 E PINETREE BLVD, THOMASVILLE, GA 31792-5302
(229) 228-5545
(229) 226-4755
Mailing address
PO BOX 2966, THOMASVILLE, GA 31799-2966
(229) 228-5545
(229) 226-4755
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
136-523-D
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000974322A
—
GA
Enumeration date
03/28/2007
Last updated
05/22/2009
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