Organization
PINELAND MENTAL HEALTH,MENTAL RETARDATION & SUBSTANCE ABUSE SERVICES
Active
Organization
PINELAND MENTAL HEALTH,MENTAL RETARDATION & SUBSTANCE ABUSE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNE A. DIPOLITO (EXECUTIVE DIRECTOR)
(912) 764-6906
Entity
Organization
Contact information
Practice address
11 N COLLEGE ST, STATESBORO, GA 30458-5306
(912) 764-9868
(912) 764-5066
Mailing address
5 W ALTMAN ST, STATESBORO, GA 30458-5212
(912) 764-6906
(912) 764-3252
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
RN118225
GA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
Update your record
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