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Leslie R Pegram, Llc
Adolescent and Children Mental Health Clinic/Center in Savannah, Georgia
NPI 1285267815

Leslie R Pegram, Llc is an Adolescent and Children Mental Health Clinic/Center based in Savannah, GA and is specialized in Adolescent and Children Mental Health. Leslie R Pegram, Llc practices in Savannah, GA. The NPI Number for Leslie R Pegram, Llc is 1285267815 and holds a License No. (Georgia).

The current practice location address for Leslie R Pegram, Llc is 37 W Fairmont Ave Ste 201, Savannah, GA and can be reached out via phone at 912-660-1312.

Location: 37 W Fairmont Ave Ste 201, Savannah, GA, 31406-3457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285267815
Provider Name
Leslie R Pegram, Llc
Credential
Provider Entity Type
Organization
Address
37 W Fairmont Ave Ste 201, Savannah, GA, 31406-3457
Phone Number
912-660-1312
Fax Number
Provider Enumeration Date
02/21/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
37 W Fairmont Ave Ste 201
City
Savannah
State
Georgia
Zip
31406-3457
Phone Number
912-660-1312
Fax Number
person
Provider Business Mailing Address Details
Address
37 W Fairmont Ave Ste 201
City
Savannah
State
Georgia
Zip
31406-3457
Phone Number
912-660-1312
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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