Organization
ADVENT CARE SYSTEMS OF OCILLA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN TRETTIEN (EXECUTIVE DIRECTOR)
(912) 532-9308
Entity
Organization
Contact information
Practice address
501 N IRWIN AVE, OCILLA, GA 31774-5007
(229) 468-0646
(229) 299-9697
Mailing address
501 N IRWIN AVE, OCILLA, GA 31774-5007
(229) 468-0646
(229) 299-9697
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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