Organization
HOPE BEHAVIORAL HEALTH & ADDICTIVE DISEASE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHUNTOL HARRIS (OFFICE MANAGER)
(229) 798-3929
Entity
Organization
Contact information
Practice address
218 S MACARTHUR DR, CAMILLA, GA 31730-7410
(229) 336-1702
(229) 336-1701
Mailing address
218 S MACARTHUR DR, CAMILLA, GA 31730-7410
(229) 336-1702
(229) 336-1701
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
GA
261QM0850X
Adult Mental Health Clinic/Center
—
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
GA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
GA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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