Provider Demographics
NPI:1033301627
Name:GEORGIA BAPTIST CHILDREN'S HOMES AND FAMILY MINISTRIES, INC.
Entity Type:Organization
Organization Name:GEORGIA BAPTIST CHILDREN'S HOMES AND FAMILY MINISTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-463-3800
Mailing Address - Street 1:505 WATER WORKS RD
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:GA
Mailing Address - Zip Code:30268-1253
Mailing Address - Country:US
Mailing Address - Phone:770-463-3800
Mailing Address - Fax:770-463-6439
Practice Address - Street 1:505 WATER WORKS RD
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:GA
Practice Address - Zip Code:30268-1253
Practice Address - Country:US
Practice Address - Phone:770-463-3800
Practice Address - Fax:770-463-6439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health