Csb of East Central Ga

NPI #1275864811 in Hephzibah, Georgia

Provider Information

NPI Number: 1275864811
Entity Type: Organization
Organization Name: Csb of East Central Ga
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 21, 2010
Last Updated: Jan 21, 2010

Practice Location

Address: 2232 MONTCRIEF DRIVE
City: Hephzibah
State: Georgia
ZIP Code: 30815
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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Individual Providers

Provider Name	Specialty	City
Willie Mae Berry Pugh	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Hephzibah	AI Deep Dive
Zorana Kostoski	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Hephzibah	AI Deep Dive

Organizations

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

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