| Project Rebound Inc. | |
|
1170 Brown Ave Street B Columbus GA 31906 | |
| (706) 221-4830 | |
| Not Available |
| Full Name | Project Rebound Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1170 Brown Ave Street B, Columbus, Georgia |
| Authorized Official Name and Position | J. Allen Hud (PRESIDENT) |
| Authorized Official Contact | 7062214830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Rebound Inc. 2222 Francis St Columbus GA 31906-2512 Ph: (706) 221-4830 | Project Rebound Inc. 1170 Brown Ave Street B Columbus GA 31906 Ph: (706) 221-4830 |
| NPI Number | 1104153451 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 11/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104153451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 062999 (Georgia) | Primary |
| 104100000X | Social Worker | CSW003530 (Georgia) | Secondary |
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