Organization · Type 2 NPI

Angels Corner LL

Adult Mental Health Clinic/Center · Macon, GA

NPI number 1679856629 Active

Practice location

279 Hampton Rd S
Macon, GA 31217-8536

Fax (478) 750-7747

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adult Mental Health Clinic/Center Primary 261QM0850X25896382 (GA)
Adult Care Home Facility 311ZA0620XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1679856629

Angels Corner LL's National Provider Identifier is 1679856629, issued on Sep 27, 2011. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Macon, GA. The record was last updated on Sep 27, 2011.