Southern Community Services INC

NPI #1417112707 in Douglas, Georgia

Provider Information

NPI Number: 1417112707
Entity Type: Organization
Organization Name: Southern Community Services INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 25, 2008
Last Updated: Jul 25, 2008

Practice Location

Address: 315 S. GASKIN AVE
City: Douglas
State: Georgia
ZIP Code: 31533
Phone: (912) 393-3466

Authorized Official

Name: MRS. LISA MOORE
Title: MANAGER
Phone: (912) 393-3466

Specialties & Taxonomy Codes

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

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