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345 W. Memorial Drive Hinesville GA 31313 | |
| (912) 456-2010 | |
| (912) 456-2011 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 345 W. Memorial Drive, Hinesville, Georgia |
| Authorized Official Name and Position | Linda M Damm (CFO) |
| Authorized Official Contact | 4078753700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5151 Adanson St Ste 201 Orlando FL 32804-1330 Ph: (407) 875-3700 | 345 W. Memorial Drive Hinesville GA 31313 Ph: (912) 456-2010 |
| NPI Number | 1841932365 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841932365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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