Organization
GREENLEAF COUNSELING CENTER
Active
Parent organization
SOUTH GEORGIA MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH GEORGIA MEDICAL CENTER
Authorized official
ASHLEY SHAPIRO (THERAPIST)
(229) 671-6700
Entity
Organization
Contact information
Practice address
2217 PINEVIEW DR, VALDOSTA, GA 31602-7316
(229) 671-6700
Mailing address
2217 PINEVIEW DR, VALDOSTA, GA 31602-7316
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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