NPI 1174997688

Provision Dui Treatment

Organisation Community/Behavioral Health Agency Albany, GA

Practice location

Address: 230 S Jackson St, Albany, GA 31701-2885
Phone: (229) 449-2575

Authorised official

Name: David Berry
Title: Ceo
Phone: (229) 449-2575

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 101YA0400X (GA)

Other Community/Behavioral Health providers in Georgia →

Registry record

NPI: 1174997688
Entity type: Organization
NPI issued: 20 Nov 2015
Record last updated: 20 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.