Organization
OUR SPACE CLUBHOUSE
Active
Organization
OUR SPACE CLUBHOUSE
Active
Parent organization
NEW HORIZONS COMMUNITY SERVICE BOARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW HORIZONS COMMUNITY SERVICE BOARD
Authorized official
PERRY ALEXANDER (CEO)
(706) 596-5757
Entity
Organization
Contact information
Practice address
644 BLAKELY ST, CUTHBERT, GA 39840-5325
(229) 732-5050
(229) 732-5058
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5583
(706) 596-5589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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