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Organization

MIDDLE FLINT AREA COMMUNITY SERVICE BOARD

Active
Other names
Phoenix Pointe, PHOENIX CENTER BHS
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET JORDAN (RCM MANAGER)
(229) 815-5454
Entity
Organization

Contact information

Practice address
940 GA HIGHWAY 96 STE C, WARNER ROBINS, GA 31088-2585
(478) 988-1002
Mailing address
940 GA HIGHWAY 96 STE C, WARNER ROBINS, GA 31088-2585
(478) 988-7100
(478) 988-7115

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
582105225
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000918068A
GA
05
000918068B
GA
Enumeration date
11/09/2006
Last updated
01/14/2020
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