Blount Youth Home of Georgia, INC

NPI #1487191714 in Vidalia, Georgia

Provider Information

NPI Number
1487191714
Entity Type
Organization
Organization Name
Blount Youth Home of Georgia, INC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 25, 2017
Last Updated
Jan 25, 2017

Practice Location

Address
582 MEL BLOUNT RD
State
Georgia
ZIP Code
30474-9714
Phone
(770) 550-1084

Authorized Official

Name
LESHA BLOUNT, M.ED
Title
CEO
Phone
(770) 550-1084

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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