Organization
GEORGIA INTERVENTION PROGRAMS AND SERVICES
Active
Other names
GIPS
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN SLACKS B.A. (CEO AND FOUNDER)
(229) 424-7000
Entity
Organization
Contact information
Practice address
201 E OHOOPEE ST, FITZGERALD, GA 31750-1727
(229) 424-7000
(229) 424-7074
Mailing address
PO BOX 73, FITZGERALD, GA 31750-0073
(229) 424-7000
(229) 424-7074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
GA
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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