Organization
GREATER COLUMBUS PCH
Active
Other names
BEVEVOLENT PCH INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE PAUL DORSEY (DIRECTOR)
(706) 653-2430
Entity
Organization
Contact information
Practice address
2425 3RD AVE, COLUMBUS, GA 31901-1078
(706) 653-2430
(706) 653-1022
Mailing address
2206 6TH AVE, COLUMBUS, GA 31901
(706) 323-7063
(706) 653-1022
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
232275
GA
Other
Enumeration date
02/07/2007
Last updated
06/11/2013
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