NPI | 1174697403 |
---|---|
Other Name | GREENE MH |
Entity Type | Organization |
Authorized Contact | GLENN BUTLER Billing Mgr 706-227-7250 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-08-22 |