Organization · Type 2 NPI

Bertha Richardsaon

Community/Behavioral Health Agency · Waycross, GA

NPI number 1770855868 Active

Practice location

1614 Carswell Ave
Waycross, GA 31503

Fax (912) 449-7111

Mailing address

1007 Mary St
Waycross, GA 31503-3823

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone 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 1770855868

Bertha Richardsaon's National Provider Identifier is 1770855868, issued on Feb 3, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Waycross, GA. The record was last updated on Feb 3, 2012.