| Grn Community Service Board | |
|
8201 Hazelbrand Rd Ne Covington GA 30014-1510 | |
| (770) 784-3022 | |
| Not Available |
| Full Name | Grn Community Service Board |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8201 Hazelbrand Rd Ne, Covington, Georgia |
| Authorized Official Name and Position | Frank Berry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7703395000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grn Community Service Board 8201 Hazelbrand Rd Ne Covington GA 30014-1510 Ph: (770) 784-3022 | Grn Community Service Board 8201 Hazelbrand Rd Ne Covington GA 30014-1510 Ph: (770) 784-3022 |
| NPI Number | 1396043337 |
|---|---|
| Provider Enumeration Date | 02/28/2011 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396043337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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