Organization
GEORGIA OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RICHBOURG LCSW (DIRECTOR)
(919) 452-3324
Entity
Organization
Contact information
Practice address
7130 HODGSON MEMORIAL DR STE 101, SAVANNAH, GA 31406-1527
(912) 355-3881
Mailing address
7130 HODGSON MEMORIAL DR STE 101, SAVANNAH, GA 31406-1527
(912) 355-3881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/17/2010
Last updated
05/02/2018
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