Csb of East Central Ga

NPI #1467013821 in Martinez, Georgia

Provider Information

NPI Number: 1467013821
Entity Type: Organization
Organization Name: Csb of East Central Ga
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 26, 2019
Last Updated: Jun 26, 2019

Practice Location

Address: 5101 PARNELL WAY
City: Martinez
State: Georgia
ZIP Code: 30907-8896
Phone: (706) 432-4837

Authorized Official

Name: MICHELE PRIOR
Title: BILLING SUPERVISOR
Phone: (706) 432-4837

Specialties & Taxonomy Codes

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

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