Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
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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