Organization
BULLOCH RECOVERY RESOURCES
Active
Parent organization
BULLOCH DUI RISK REDUCTION, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BULLOCH DUI RISK REDUCTION, INC
Authorized official
CINDY MITCHELL HOWARD (OWNER-COUNSELOR)
(912) 489-8401
Entity
Organization
Contact information
Practice address
18 SIMMONS CENTER, STATESBORO, GA 30458
(912) 489-8401
(912) 489-4316
Mailing address
18 SIMMONS CENTER, STATESBORO, GA 30458
(912) 489-8401
(912) 489-4316
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
2010000179
GA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2010000179
GA
261QM0850X
Adult Mental Health Clinic/Center
2010000179
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2010000179
GA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2010000179
GA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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