CAMP WANNA BE NPI 1306192737

NPI Information

NPI: 1306192737
Provider Name: CAMP WANNA BE
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
582 MEL BLOUNT RD
VIDALIA, GA
ZIP 30474
Phone: (912) 537-7787
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CAMP WANNA BE is a professional counselor in Vidalia, GA. CAMP WANNA BE NPI is 1306192737. The provider is registered as an organization entity type.

The provider's business location address is:

582 MEL BLOUNT RD
VIDALIA, GA
ZIP 30474-714
Phone: (912) 537-7787

The provider's authorized official is Clinton Blount .
The authorized official title is Director and has the following contact phone number (912) 537-7787.

The enumeration date for this NPI number is 8/3/2012 and was last updated on 8/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		No
3	324500000X	Substance Abuse Rehabilitation Facility		No
4	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
5	385H00000X	Respite Care		No
6	101Y00000X	Counselor		No
7	101YP2500X	Counselor	Professional	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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