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Keenan James Pacut
Community/Behavioral Health Agency in Fort Valley, Georgia
NPI 1013540160

Keenan James Pacut is a Community/Behavioral Health Agency based in Fort Valley, GA. Keenan James Pacut practices in Fort Valley, GA. The NPI Number for Keenan James Pacut is 1013540160 and holds a License No. (Georgia).

The current practice location address for Keenan James Pacut is 410 E Church St, Fort Valley, GA and can be reached out via phone at 229-938-7274.

Location: 410 E Church St, Fort Valley, GA, 31030-3097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013540160
Provider Name
Keenan James Pacut
Credential
Provider Entity Type
Individual
Gender
Male
Address
410 E Church St, Fort Valley, GA, 31030-3097
Phone Number
229-938-7274
Fax Number
Provider Enumeration Date
02/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
410 E Church St
City
Fort Valley
State
Georgia
Zip
31030-3097
Phone Number
229-938-7274
Fax Number
person
Provider Business Mailing Address Details
Address
410 E Church St
City
Fort Valley
State
Georgia
Zip
31030-3097
Phone Number
229-938-7274
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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