Organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Active
Parent organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Other names
Warner Robins Outpatient
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Authorized official
MARGARET JORDAN (RCM MANAGER)
(229) 815-5454
Entity
Organization
Contact information
Practice address
940 GA HIGHWAY 96 STE A, WARNER ROBINS, GA 31088-2587
(478) 988-1002
(478) 988-8780
Mailing address
940 GA HIGHWAY 96 STE A, WARNER ROBINS, GA 31088-2587
(478) 988-1002
(478) 988-8780
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
582105225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000450128G
—
GA
05
—
000604502A
—
GA
05
—
000604502AG
—
GA
05
—
000604502AI
—
GA
05
—
000604502AJ
—
GA
05
—
000604502AP
—
GA
05
—
000604502P
—
GA
Enumeration date
06/30/2005
Last updated
12/15/2023
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