Csb of East Central Ga

NPI #1811436512 in Hephzibah, Georgia

Provider Information

NPI Number
1811436512
Entity Type
Organization
Organization Name
Csb of East Central Ga
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 15, 2017
Last Updated
Feb 15, 2017

Practice Location

Address
4008 RAMSWOOD DR
State
Georgia
ZIP Code
30815-5849
Phone
(762) 221-1090

Authorized Official

Name
HEATHER DUBOSE
Title
RESIDENTIAL MANAGER
Phone
(706) 432-4928

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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