| Cassandra Waters | |
|
1531 Highway 95 Rock Spring GA 30739-2398 | |
| (706) 638-5580 | |
| (706) 638-5445 |
| Full Name | Cassandra Waters |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1531 Highway 95, Rock Spring, Georgia |
| Authorized Official Name and Position | Thomas Ford (CEO) |
| Authorized Official Contact | 7066385580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Waters Po Box 1027 La Fayette GA 30728-1027 Ph: (706) 638-5580 | Cassandra Waters 1531 Highway 95 Rock Spring GA 30739-2398 Ph: (706) 638-5580 |
| NPI Number | 1538484621 |
|---|---|
| Provider Enumeration Date | 03/31/2010 |
| Last Update Date | 03/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538484621 | NPI | - | NPPES |
| 000604513CS | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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