Csb of East Central Ga

NPI #1669703104 in Thomson, Georgia

Provider Information

NPI Number: 1669703104
Entity Type: Organization
Organization Name: Csb of East Central Ga
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 22, 2010
Last Updated: Jan 22, 2010

Practice Location

Address: 818 WHITE OAK RD
City: Thomson
State: Georgia
ZIP Code: 30824-3905
Phone: (706) 432-4858

Authorized Official

Name: WANDA JESSIE
Title: BILLINGMANAGER
Phone: (706) 432-4858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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Organizations

Provider Name	Specialty	City
Csb of East Central Ga	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Thomson	AI Deep Dive
Csb of East Central Ga	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Thomson	AI Deep Dive

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