South Georgia Csb

NPI #1942374350 in Adel, Georgia

Provider Information

NPI Number
1942374350
Entity Type
Organization
Organization Name
South Georgia Csb
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Nov 17, 2006
Last Updated
Dec 15, 2008

Practice Location

Address
203 INDUSTRIAL PARK DRIVE
City
Adel
State
Georgia
ZIP Code
31620
Phone
(229) 896-7994

Authorized Official

Name
MRS. SUE GUPTON
Title
CHIEF EXECUTIVE OFFICER
Phone
(229) 671-6101

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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