Organization
CLEARWATER CASE MANAGEMENT AND BEHAVIOR HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PERKINS (CHIEF EXECUTIVE OFFICER)
(706) 718-6547
Entity
Organization
Contact information
Practice address
233 12TH ST, SUITE 911-A, COLUMBUS, GA 31901-2462
(706) 718-0011
Mailing address
233 12TH ST, SUITE 911-A, COLUMBUS, GA 31901-2462
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
004665
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003160216A
—
GA
Enumeration date
07/31/2015
Last updated
07/31/2015
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