Provider Demographics
NPI:1316071574
Name:VOLUNTEERS OF AMERICA GEORGIA
Entity type:Organization
Organization Name:VOLUNTEERS OF AMERICA GEORGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE CLERK
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOMLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-338-1262
Mailing Address - Street 1:600 AZALEA RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-1528
Mailing Address - Country:US
Mailing Address - Phone:251-338-1262
Mailing Address - Fax:
Practice Address - Street 1:210 CHANDLER AVE
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30453-4651
Practice Address - Country:US
Practice Address - Phone:912-557-8880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness