| Total Control Behavioral Health Center Llc | |
|
210 S 13th St Griffin GA 30224-2704 | |
| (470) 204-7956 | |
| (866) 217-7073 |
| Full Name | Total Control Behavioral Health Center Llc |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 210 S 13th St, Griffin, Georgia |
| Authorized Official Name and Position | Aaron Roquemore (OWNER) |
| Authorized Official Contact | 4702047956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Control Behavioral Health Center Llc 210 S 13th St Griffin GA 30224-2704 Ph: (470) 204-7956 | Total Control Behavioral Health Center Llc 210 S 13th St Griffin GA 30224-2704 Ph: (470) 204-7956 |
| NPI Number | 1174071666 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 03/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174071666 | NPI | - | NPPES |
| 889079225B | Medicaid | GA | |
| 889079225A | Medicaid | GA | |
| 003190902A | Medicaid | GA |
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