Organization
OGEECHEE BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY A TRIBBLE (EXECUTIVE DIRECTOR)
(478) 289-2522
Entity
Organization
Contact information
Practice address
133 N ANDERSON DR, SWAINSBORO, GA 30401-4439
(478) 289-2639
(478) 289-2642
Mailing address
223 N ANDERSON DRIVE, P O BOX 1259, SWAINSBORO, GA 30401
(478) 289-2683
(478) 289-2798
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000709288A
—
GA
Enumeration date
01/24/2007
Last updated
06/16/2018
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