Organization
NEW HORIZONS CSB STEWART COUNTY C & A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY ALEXANDER (CREDENTIALING COORDINATOR)
(706) 596-5582
Entity
Organization
Contact information
Practice address
504 DEPOT ST, RICHLAND, GA 31825-1015
(229) 887-2180
(229) 887-2183
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5583
(706) 596-5589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006009381
—
GA
Enumeration date
01/19/2007
Last updated
08/22/2020
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