Organization
BLOUNT YOUTH HOME OF GEORGIA, INC
Active
Other names
Campside Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
LESHA BLOUNT M.ED (CEO)
(770) 550-1084
Entity
Organization
Contact information
Practice address
582 MEL BLOUNT RD, VIDALIA, GA 30474-9714
(770) 550-1084
Mailing address
582 MEL BLOUNT RD, VIDALIA, GA 30474-9714
(770) 550-1084
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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