Organization · NPI-2

Intervention And Prevention Services, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Tifton, GA

NPI number1780874008
StatusActive
Last updated in NPPESAug 1, 2007

Details

NPI
1780874008
Entity type
Organization (NPI-2)
Legal business name
Intervention And Prevention Services, INC.
Organization subpart
No
Enumeration date
Aug 1, 2007
Last updated
Aug 1, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)LPC003534GAYes

Practice location

128 1st St E
Suite # 226
Tifton, GA 31794-4866

Phone 229-386-2100 · Fax 229-387-7900

Mailing address

128 1st St E
Suite # 226
Tifton, GA 31794-4866

Phone 229-386-2100 · Fax 229-387-7900

Authorized official

Caroline G Day
Chief Executive Officer
2294022532

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Tifton, GA