Organization
MB BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY JACKSON (OWNER)
(845) 597-4264
Entity
Organization
Contact information
Practice address
233 MITCHELL ST SW, SUITE 450, ATLANTA, GA 30303-3304
(845) 597-4264
Mailing address
49 HUDSON VIEW TER, NEWBURGH, NY 12550-3310
(845) 597-4264
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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