| Cook Outpatient Services | |
|
203 Industrial Park Dr Adel GA 31620-3446 | |
| (229) 896-4559 | |
| (229) 896-8367 |
| Full Name | Cook Outpatient Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 203 Industrial Park Dr, Adel, Georgia |
| Authorized Official Name and Position | Jane B. Stephens (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2296716108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook Outpatient Services 3120 N Oak Street Ext Ste C Valdosta GA 31602-5910 | Cook Outpatient Services 203 Industrial Park Dr Adel GA 31620-3446 Ph: (229) 896-4559 |
| NPI Number | 1083787394 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 09/26/2025 |
| Certification Date | 09/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083787394 | NPI | - | NPPES |
| 000601246A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
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