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Organization

PROJECT CHANGE CLUBHOUSE

Active
Parent organization
NEW HORIZONS COMMUNITY SERVICE BOARD
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEW HORIZONS COMMUNITY SERVICE BOARD
Authorized official
PERRY ALEXANDER (CEO)
(706) 596-5757
Entity
Organization

Contact information

Practice address
1727 BOXWOOD PL, COLUMBUS, GA 31906-2328
(706) 569-0727
(706) 569-7324
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5983
(706) 596-5589

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/12/2010
Last updated
01/12/2010
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