Organization
SAVANNAH AREA BEHAVIORAL HEALTH COLLABORTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUILIN REYNOLDS JD (EXECUTIVE DIRECTOR)
(912) 966-3782
Entity
Organization
Contact information
Practice address
17 MINIS AVE, GARDEN CITY, GA 31408-2006
(912) 966-3782
(912) 963-2532
Mailing address
17 MINUS AVENUE, GARDEN CITY, GA 31408-2006
(912) 966-3782
(912) 963-2532
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW003465
GA
251S00000X
Community/Behavioral Health Agency
MSW003465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305328035A
—
GA
01
—
GRP6473
MEDICARE GROUP
GA
Enumeration date
07/15/2006
Last updated
07/11/2008
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