Community Service Board of Middle Georgia

NPI #1689657637 in Dublin, Georgia

Provider Information

NPI Number: 1689657637
Entity Type: Organization
Organization Name: Community Service Board of Middle Georgia
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 23, 2005
Last Updated: Jan 12, 2016

Practice Location

Address: 2121A BELLEVUE RD
City: Dublin
State: Georgia
ZIP Code: 31021-2998
Phone: (478) 272-1190

Authorized Official

Name: MR. KEITH MORAN
Title: CHIEF FINANCIAL OFFICER
Phone: (478) 272-1190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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