Organization
CENTRAL GEORGIA BEHAVIORAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMIE CLARK (EXECUTIVE DIRECTOR)
(478) 298-2230
Entity
Organization
Contact information
Practice address
143 N THIRD ST, COCHRAN, GA 31014-9563
(478) 298-2230
Mailing address
217 RAINBOW RD, COCHRAN, GA 31014-7716
(478) 298-2230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
04/27/2010
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