| Klj Community Service Inc | |
|
2459 Wise St Columbus GA 31903-3453 | |
| (770) 468-0476 | |
| Not Available |
| Full Name | Klj Community Service Inc |
|---|---|
| Speciality | Case Management |
| Location | 2459 Wise St, Columbus, Georgia |
| Authorized Official Name and Position | Betty Martin-woods (CEO) |
| Authorized Official Contact | 7704680476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klj Community Service Inc 2459 Wise St Columbus GA 31903-3453 Ph: (770) 468-0476 | Klj Community Service Inc 2459 Wise St Columbus GA 31903-3453 Ph: (770) 468-0476 |
| NPI Number | 1184950917 |
|---|---|
| Provider Enumeration Date | 10/29/2009 |
| Last Update Date | 03/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184950917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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