Csb of East Central Georgia

NPI #1689945909 in Blythe, Georgia

Provider Information

NPI Number: 1689945909
Entity Type: Organization
Organization Name: Csb of East Central Georgia
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 18, 2012
Last Updated: Jan 18, 2012

Practice Location

Address: 4054 BATH EDIE RD
City: Blythe
State: Georgia
ZIP Code: 30805-3600
Phone: (706) 432-7893

Authorized Official

Name: MRS. MARGARET WEBB
Title: BILLING SUPERVISOR
Phone: (706) 432-7893

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	Blythe	AI Deep Dive
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