| Project Change Clubhouse | |
|
1727 Boxwood Pl Columbus GA 31906-2328 | |
| (706) 569-0727 | |
| (706) 569-7324 |
| Full Name | Project Change Clubhouse |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1727 Boxwood Pl, Columbus, Georgia |
| Authorized Official Name and Position | Perry Alexander (CEO) |
| Authorized Official Contact | 7065965757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Change Clubhouse 2100 Comer Ave Columbus GA 31904-8725 Ph: (706) 596-5983 | Project Change Clubhouse 1727 Boxwood Pl Columbus GA 31906-2328 Ph: (706) 569-0727 |
| NPI Number | 1821328923 |
|---|---|
| Provider Enumeration Date | 01/12/2010 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821328923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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