Provider First Line Business Practice Location Address:
19459 US HIGHWAY 19 N
Provider Second Line Business Practice Location Address:
NEW OPPORTUNITIES SUBSTANCE ABUSE TREATMENT PROGRAM
Provider Business Practice Location Address City Name:
THOMASVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31792-9074
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-225-1380
Provider Business Practice Location Address Fax Number:
229-228-4349
Provider Enumeration Date:
07/13/2006