South Georgia Csb

NPI #1053624585 in Valdosta, Georgia

Provider Information

NPI Number: 1053624585
Entity Type: Organization
Organization Name: South Georgia Csb
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jul 26, 2010
Last Updated: Jul 26, 2010

Practice Location

Address: 1209 N TOOMBS ST
City: Valdosta
State: Georgia
ZIP Code: 31601-3931
Phone: (229) 671-4255

Authorized Official

Name: MRS. BRENDA HARRELL
Title: CHIEF FINANCIAL OFFICER
Phone: (229) 671-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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