| Ogcc Behavioral Service Center Inc | |
|
1035 Research Center Atlanta Dr Sw Suite B Atlanta GA 30331-2035 | |
| (404) 691-3270 | |
| Not Available |
| Full Name | Ogcc Behavioral Service Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1035 Research Center Atlanta Dr Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Dionne Huffman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4046913270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ogcc Behavioral Service Center Inc 1035 Research Center Atlanta Dr Sw Suite B Atlanta GA 30331-2035 Ph: (404) 691-3270 | Ogcc Behavioral Service Center Inc 1035 Research Center Atlanta Dr Sw Suite B Atlanta GA 30331-2035 Ph: (404) 691-3270 |
| NPI Number | 1043418627 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 03/07/2011 |
| Medicare PECOS PAC ID | 5799146957 |
|---|---|
| Medicare Enrollment ID | O20230803002951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043418627 | NPI | - | NPPES |
| 731363425A | Medicaid | GA | |
| 979418669A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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