Csb of East Central Ga

NPI #1609107333 in Washington, Georgia

Provider Information

NPI Number
1609107333
Entity Type
Organization
Organization Name
Csb of East Central Ga
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 20, 2010
Last Updated
Jan 26, 2010

Practice Location

Address
213 HOSPITAL DR
State
Georgia
ZIP Code
30673-5628
Phone
(706) 432-4858

Authorized Official

Name
WANDA JESSIE
Title
BILLING MANAGER
Phone
(706) 432-4858

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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Provider Name
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