Organization
CORD OF THREE COUNSELING SERVICES, INC.
Active
Organization
CORD OF THREE COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAY D. GILL LPC (EXECUTIVE DIRECTOR)
(912) 282-0992
Entity
Organization
Contact information
Practice address
5920 REESE ST, PATTERSON, GA 31557-5131
(912) 282-0992
(912) 647-0510
Mailing address
PO BOX 151, PATTERSON, GA 31557-0151
(912) 282-0992
(912) 647-0510
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
004088
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104129A
—
GA
Enumeration date
05/17/2011
Last updated
05/17/2011
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