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
292 W 4TH ST, WAYNESBORO, GA 30830-1559
(706) 437-6863
(706) 437-6860
Mailing address
223 N. ANDERSON DRIVE, P O BOX 1259, SWAINSBORO, GA 30401
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
—
000606383V
—
GA
05
—
10061731
—
GA
05
—
814702000
—
GA
Enumeration date
01/24/2007
Last updated
03/17/2018
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