| Allwell Behavioral | |
|
501 Osigian Blvd Ste A Warner Robins GA 31088-8928 | |
| (478) 333-6711 | |
| (478) 333-6730 |
| Full Name | Allwell Behavioral |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 501 Osigian Blvd, Warner Robins, Georgia |
| Authorized Official Name and Position | Babatunde Francis Fagbamiye (PRESIDENT) |
| Authorized Official Contact | 4783336711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allwell Behavioral Po Box 2144 Warner Robins GA 31099-2144 Ph: (478) 333-6711 | Allwell Behavioral 501 Osigian Blvd Ste A Warner Robins GA 31088-8928 Ph: (478) 333-6711 |
| NPI Number | 1790957348 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 05/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790957348 | NPI | - | NPPES |
| 600020201 | Other | GA | MAGELLAN |
| 742988049B | Medicaid | GA | |
| 312991812 | Other | GA | UNITEDBEHAVIORAL |
| 2328379 | Other | GA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 056058 (Georgia) | Primary |
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