Healthcare Provider Details

I. General information

NPI: 1992126148
Provider Name (Legal Business Name): RIGHT TRACK CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2013
Last Update Date: 12/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6815 FOREST PARK DR SUITE 122
SAVANNAH GA
31406-1510
US

IV. Provider business mailing address

6815 FOREST PARK DR SUITE 122
SAVANNAH GA
31406-1510
US

V. Phone/Fax

Practice location:
  • Phone: 912-335-7915
  • Fax: 888-417-8783
Mailing address:
  • Phone: 912-335-7915
  • Fax: 888-417-8783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: TABATHA CRAWFORD
Title or Position: CEO
Credential: MSW
Phone: 912-335-7915