NPI | 1023593498 |
---|---|
Doing Business As | JEFF DAVIS BEHAVIORAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | BARRY BLOOM CEO 912-375-7781 |
Organization Subpart ? | No |
Primary Taxonomy | 273R00000X Psychiatric Unit |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2018-10-01 |
Last Update Date | 2021-06-23 |