NPI 1164846499 · live from the CMS NPI Registry
3dk INC-Georgia
Community/Behavioral Health in Augusta, GA. National Provider Identifier 1164846499, active.
NPI record
| NPI | 1164846499 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 2903 Galahad, Augusta, GA 30909 |
| Practice phone | 706-495-2351 |
| Mailing address | 2903 Galahad Way, Augusta, GA 30909 |
| Enumerated | February 6, 2014 |
| Last updated | February 6, 2014 |
| Authorized official | Derrick Kimble, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Home Health | 251E00000X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.