| Youth Forward Initiative Inc. | |
|
117 Martin Luther King Blvd Hazlehurst GA 31539-7449 | |
| (912) 240-9811 | |
| Not Available |
| Full Name | Youth Forward Initiative Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 Martin Luther King Blvd, Hazlehurst, Georgia |
| Authorized Official Name and Position | Rodney Atwaters (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8643570264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Forward Initiative Inc. 1589 Burketts Ferry Rd Hazlehurst GA 31539-7449 Ph: () - | Youth Forward Initiative Inc. 117 Martin Luther King Blvd Hazlehurst GA 31539-7449 Ph: (912) 240-9811 |
| NPI Number | 1659233229 |
|---|---|
| Provider Enumeration Date | 12/02/2025 |
| Last Update Date | 12/02/2025 |
| Certification Date | 11/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659233229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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