Csb of East Central Ga

NPI #1447798707 in Grovetown, Georgia

Provider Information

NPI Number: 1447798707
Entity Type: Organization
Organization Name: Csb of East Central Ga
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 7, 2017
Last Updated: Feb 7, 2017

Practice Location

Address: 355 BOBWHITE TRL
City: Grovetown
State: Georgia
ZIP Code: 30813-5886
Phone: (706) 432-4928

Authorized Official

Name: HEATHER DUBOSE
Title: RESIDENTIAL MANAGER
Phone: (706) 432-4928

Specialties & Taxonomy Codes

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

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