Organization · Type 2 NPI

The Wings of Holly Blue LLC

Community/Behavioral Health Agency · Moultrie, GA

NPI number 1184480170 Active

Practice location

815 S Main St
Moultrie, GA 31768-5434

Fax (760) 433-5414

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…

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About NPI 1184480170

The Wings of Holly Blue LLC's National Provider Identifier is 1184480170, issued on Feb 27, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Moultrie, GA. The record was last updated on Apr 11, 2024.