Organization
HAWTHORNE HEALTHCARE LLC
Active
Organization
HAWTHORNE HEALTHCARE LLC
Active
Other names
Hawthorne Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HEADLEY (OWNER)
(336) 655-5370
Entity
Organization
Contact information
Practice address
7505 WATERS AVE, UNIT C 7, SAVANNAH, GA 31406-3825
(336) 655-5370
Mailing address
7505 WATERS AVE, UNIT C 7, SAVANNAH, GA 31406-3825
(336) 655-5370
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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