Greater Columbus Pch

NPI #1790825750 in Columbus, Georgia

Provider Information

NPI Number: 1790825750
Entity Type: Organization
Organization Name: Greater Columbus Pch
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Feb 7, 2007
Last Updated: Jun 11, 2013

Practice Location

Address: 2425 3RD AVE
City: Columbus
State: Georgia
ZIP Code: 31901-1078
Phone: (706) 653-2430

Authorized Official

Name: MR. WILLIE PAUL DORSEY
Title: DIRECTOR
Phone: (706) 653-2430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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