Provider Demographics
NPI:1245439116
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:<UNAVAIL>
Other - Org Type:
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 1:9420 BLACKSHEAR HWY
Practice Address - Street 2:
Practice Address - City:BAXLEY
Practice Address - State:GA
Practice Address - Zip Code:31513-5715
Practice Address - Country:US
Practice Address - Phone:770-912-3676
Practice Address - Fax:917-367-2268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health