Community Service Board of Middle Georgia

NPI #1881114239 in Sylvania, Georgia

Provider Information

NPI Number: 1881114239
Entity Type: Organization
Organization Name: Community Service Board of Middle Georgia
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 26, 2017
Last Updated: Jun 26, 2017

Practice Location

Address: 302 E OGEECHEE ST
City: Sylvania
State: Georgia
ZIP Code: 30467-2403
Phone: (912) 564-7825

Authorized Official

Name: KEITH MORAN
Title: CFO
Phone: (478) 275-6811

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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