Community Service Board of East Central Georgia

NPI #1013474915 in Hephzibah, Georgia

Provider Information

NPI Number: 1013474915
Entity Type: Organization
Organization Name: Community Service Board of East Central Georgia
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 27, 2019
Last Updated: Feb 27, 2019

Practice Location

Address: 1715 LAWERENCE RD
City: Hephzibah
State: Georgia
ZIP Code: 30815-4445
Phone: (706) 432-4837

Authorized Official

Name: MICHELE PRIOR
Title: BILLING SUPERVISOR
Phone: (706) 432-4837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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