Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROZ JOHNSON LMFT (CHIEF CLINICAL OFFICER)
(229) 671-6700
Entity
Organization
Contact information
Practice address
334 TIFTON ELDORADO RD, TIFTON, GA 31794-9497
(229) 391-2301
Mailing address
3120 N OAK STREET EXT, SUITE C, VALDOSTA, GA 31602-5909
(229) 671-6700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFT001515
GA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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