NPI 1558916726

Re-Direct Behavioral Youth Program

Organisation Case Management Agency Dublin, GA

Practice location

Address: 900 Mlk Jr Dr, Dublin, GA 31021-5063
Phone: (478) 304-1403
Mailing address: PO Box 16355, Dublin, GA 31040-6355

Authorised official

Name: Joe Nathan Ricks
Title: Ceo
Phone: (478) 697-5304

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1558916726
Entity type: Organization
NPI issued: 5 Aug 2019
Record last updated: 5 Aug 2019

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.