Organization · NPI-2
Center For Mental And Spiritual Health
Clinic/Center, Mental Health (Including Community Mental Health Center) · Evans, GA
NPI number1093465056
StatusActive
Last updated in NPPESMar 24, 2022
Details
- NPI
- 1093465056
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Mental And Spiritual Health
- Organization subpart
- No
- Enumeration date
- Mar 24, 2022
- Certification date
- Mar 24, 2022
- Last updated
- Mar 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
4325 Washington RdEvans, GA 30809-3966
Phone 706-993-7220
Mailing address
906 Hunting Horn Way WEvans, GA 30809-4828
Phone 706-993-7220
Authorized official
John Knight Hill
Ceo
7062502653
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