NPIMap

Middle Flint Community Service Board

Organization Active NPI Community/Behavioral Health Agency · Vienna, GA

NPI 1053589176 · NPPES record last updated Feb 11, 2008

Key facts

NPI
1053589176
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
MIDDLE FLINT COMMUNITY SERVICE BOARD
Practice address
1404 E Union St
Vienna, GA 31092-7530
Phone
(229) 931-2470
Fax
(229) 931-2474
NPI assigned
Feb 11, 2008
Organization subpart
Yes
Parent organization (as reported)
MIDDLE FLINT AREA COMMUNITY BOARD

Authorized official

Name
Pam Davis
Title
Executive Director
Phone
(229) 931-2470

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Middle Flint Behavior H (24 organizations share this tax ID)
Part of
Middle Flint Behavior H

Locations

1404 E Union St
Vienna, GA 31092

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

1404 E Union St
Vienna, GA 31092-7530

Mailing address

415 N Jackson St
P.O. Drawer 1348
Americus, GA 31709-3015
Phone (229) 931-2470

Other names

  • Middle Flint Behavioral Healthcare Other name

Other providers in Vienna, GA

All providers in Vienna, GA · Community/Behavioral Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.