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Organization

MIDDLE FLINT COMMUNITY SERVICE BOARD

Active
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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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