| Assertive Community Treatment Program | |
|
334 Tifton Eldorado Rd Tifton GA 31794-9497 | |
| (229) 227-2977 | |
| (229) 227-2955 |
| Full Name | Assertive Community Treatment Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 334 Tifton Eldorado Rd, Tifton, Georgia |
| Authorized Official Name and Position | Hilary J Hoo-you (REGIONAL HOSPITAL ADMINISTRATOR) |
| Authorized Official Contact | 2292273020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assertive Community Treatment Program 400 South Pinetree Blvd. P. O. Box 1378 Patient Billing Dept Thomasville GA 31799-1378 Ph: (229) 227-2977 | Assertive Community Treatment Program 334 Tifton Eldorado Rd Tifton GA 31794-9497 Ph: (229) 227-2977 |
| NPI Number | 1720156508 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720156508 | NPI | - | NPPES |
| 00877236H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 581130678 (Georgia) | Primary |
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