Organization · Type 2 NPI

Middle Flint Community Service Board

Community/Behavioral Health Agency · Vienna, GA

NPI number 1053589176 Active

Practice location

1404 E Union St
Vienna, GA 31092-7530

Call (229) 931-2470 Map

Fax (229) 931-2474

Mailing address

415 N Jackson St, P.o. Drawer 1348
Americus, GA 31709-3015

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

NPI record

NPI: 1053589176
Entity type: Organization (Type 2)
Issued: Feb 11, 2008
Last updated: Feb 11, 2008
Status: Active
Subpart: Yes of Middle Flint Area Community Board

Other names

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Middle Flint Behavioral Healthcare · other name

Authorized official

Pam Davis
Executive Director
(229) 931-2470

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053589176

Middle Flint Community Service Board's National Provider Identifier is 1053589176, issued on Feb 11, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Vienna, GA. The record was last updated on Feb 11, 2008.