Provider Demographics
NPI:1376742916
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:MEANSVILLE CAMPUS
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, MDIV, MFS
Authorized Official - Phone:770-463-3800
Mailing Address - Street 1:PO BOX 329
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:GA
Mailing Address - Zip Code:30268-0329
Mailing Address - Country:US
Mailing Address - Phone:770-463-3800
Mailing Address - Fax:770-463-6439
Practice Address - Street 1:2821 HWY. 19
Practice Address - Street 2:
Practice Address - City:MEANSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30256
Practice Address - Country:US
Practice Address - Phone:770-567-8987
Practice Address - Fax:770-567-3359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health