The Wings of Holly Blue LLC

NPI #1184480170 in Moultrie, Georgia

Provider Information

NPI Number
1184480170
Entity Type
Organization
Organization Name
The Wings of Holly Blue LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 27, 2024
Last Updated
Apr 11, 2024

Practice Location

Address
815 S MAIN ST
State
Georgia
ZIP Code
31768-5434
Phone
(760) 585-5522

Authorized Official

Name
DEBRA HOWARD
Title
CEO
Phone
(760) 585-5522

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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