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The Wings Of Holly Blue Llc
Community/Behavioral Health Agency in Moultrie, Georgia
NPI 1184480170

The Wings Of Holly Blue Llc is a Community/Behavioral Health Agency based in Moultrie, GA. The Wings Of Holly Blue Llc practices in Moultrie, GA. The NPI Number for The Wings Of Holly Blue Llc is 1184480170 and holds a License No. (Georgia).

The current practice location address for The Wings Of Holly Blue Llc is 815 S Main St, Moultrie, GA and can be reached out via phone at 760-585-5522 and via fax at 760-433-5414.

Location: 815 S Main St, Moultrie, GA, 31768-5434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184480170
Provider Name
The Wings Of Holly Blue Llc
Credential
Provider Entity Type
Organization
Address
815 S Main St, Moultrie, GA, 31768-5434
Phone Number
760-585-5522
Fax Number
760-433-5414
Provider Enumeration Date
02/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
815 S Main St
City
Moultrie
State
Georgia
Zip
31768-5434
Phone Number
760-585-5522
Fax Number
760-433-5414
person
Provider Business Mailing Address Details
Address
815 S Main St
City
Moultrie
State
Georgia
Zip
31768-5434
Phone Number
760-585-5522
Fax Number
760-433-5414
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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