Organization
MENTORING AND BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE HENRY (OWNER)
(706) 587-8986
Entity
Organization
Contact information
Practice address
7000 STORAGE CT, SUITE 22, COLUMBUS, GA 31907-0700
(706) 587-8986
(706) 221-5819
Mailing address
7000 STORAGE CT, SUITE 22, COLUMBUS, GA 31907-0700
(706) 587-8986
(706) 221-5819
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
108544
GA
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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