Organization
UPLIFT INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE TERRELL (CHAIRMAN OF THE BOARD)
(229) 200-1366
Entity
Organization
Contact information
Practice address
7752 GA HIGHWAY 133, MORVEN, GA 31773
(229) 200-1366
Mailing address
P.O. BOX 416, OCHLOCKNEE, GA 31773
(229) 200-1366
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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