Organization
SOUTH WEST GEORGIA BEHAVIORAL HEALTH PROVIDER SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA JOHNSON CASHAW RN (ADMINISTRATOR/CEO)
(229) 376-9140
Entity
Organization
Contact information
Practice address
2211 GREENOCH AVE, 2211 GREENOCH, ALBANY, GA 31721-2054
(229) 376-2969
Mailing address
2211 GREENOCH AVE, 2211 GREENOCH, ALBANY, GA 31721-2054
(229) 376-9140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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