| Transitional Family Services | |
|
3643 Walton Way Ext Augusta GA 30909-4507 | |
| (706) 364-1404 | |
| (706) 364-1419 |
| Full Name | Transitional Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3643 Walton Way Ext, Augusta, Georgia |
| Authorized Official Name and Position | Angela Feeser (REGIONAL DIRECTOR) |
| Authorized Official Contact | 7063641404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitional Family Services 3643 Walton Way Extension Augusta GA 30909-6677 Ph: (706) 364-1404 | Transitional Family Services 3643 Walton Way Ext Augusta GA 30909-4507 Ph: (706) 364-1404 |
| NPI Number | 1740416163 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 06/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740416163 | NPI | - | NPPES |
| 045211619A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC005622 (Georgia) | Primary |
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