| NPI | 1679919195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BACON PHILLIPS Vice President/COO 912-876-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 261QC1500X Clinic/Center, Community Health | |
| 302R00000X Health Maintenance Organization | |
| 305S00000X Point of Service | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |