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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA

Active Organization

PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA is a Community/Behavioral Health organization located in JONESBORO, Georgia. NPI 1629264627 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · JONESBORO, GA

Registration Details

NPI Number
1629264627
Provider Type
Organization
NPI Issued
Sep 24, 2007 (18.872338908755 yrs)
Last Updated
Sep 24, 2007
License
LPC000247 (GA)

Practice Information

Address
8712 TARA BLVD
JONESBORO, GA, 302364905
Browse GA providers · Browse ZIP 30236
Phone
7704783417
Fax
7704783419
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.