Provider Demographics
NPI:1578125282
Name:GEORGIA TREATMENT SERVICES
Entity Type:Organization
Organization Name:GEORGIA TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFIER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:ADAMS
Authorized Official - Last Name:JAMIESON
Authorized Official - Suffix:
Authorized Official - Credentials:LADC/MH
Authorized Official - Phone:918-232-4288
Mailing Address - Street 1:7136 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-6373
Mailing Address - Country:US
Mailing Address - Phone:478-788-0066
Mailing Address - Fax:478-785-3104
Practice Address - Street 1:6132 HAWKINSVILL ROAD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31216
Practice Address - Country:US
Practice Address - Phone:478-788-0066
Practice Address - Fax:478-785-3104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No251S00000XAgenciesCommunity/Behavioral Health