Organization
MIDDLE FLINT COMMUNITY SERVICE BOARD
Active
Parent organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Other names
Phoenix House, Middle Flint Behavioral HealthCare AMHDT
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Authorized official
ANGELA HOLT (EXECUTIVE DIRECTOR)
(229) 815-5454
Entity
Organization
Contact information
Practice address
1335 N 5TH STREET EXT STE B, CORDELE, GA 31015-3753
(229) 273-2091
(229) 931-2474
Mailing address
415 N JACKSON ST, P.O. DRAWER 1348, AMERICUS, GA 31709-3015
(229) 931-2470
(229) 931-2474
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000603237D
—
GA
Enumeration date
02/11/2008
Last updated
01/29/2024
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