Organization
BLOUNT YOUTH HOME OF GEORGIA, INC
Active
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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