Csb of East Central Ga

NPI #1043541709 in Blythe, Georgia

Provider Information

NPI Number: 1043541709
Entity Type: Organization
Organization Name: Csb of East Central Ga
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 20, 2010
Last Updated: Jan 20, 2010

Practice Location

Address: 4064 BATH EDIE RD
City: Blythe
State: Georgia
ZIP Code: 30805-3600
Phone: (706) 432-4858

Authorized Official

Name: WANDA JESSIE
Title: BILLING MANAGER
Phone: (706) 432-4858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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Organizations

Provider Name	Specialty	City
Csb of East Central Georgia	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Blythe	AI Deep Dive
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