South Georgia Csb

NPI #1407929730 in Valdosta, Georgia

Provider Information

NPI Number: 1407929730
Entity Type: Organization
Organization Name: South Georgia Csb
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 16, 2006
Last Updated: Jan 8, 2009

Practice Location

Address: 252 N SAINT AUGUSTINE RD
City: Valdosta
State: Georgia
ZIP Code: 31601-5274
Phone: (229) 245-6400

Authorized Official

Name: MRS. BRENDA HARRELL
Title: CHIEF FINANCIAL OFFICER
Phone: (229) 671-6140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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