SOUTH GEORGIA CSB NPI 1154494359

NPI Details

SOUTH GEORGIA CSB is a developmental disabilities clinic center in Quitman, GA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). SOUTH GEORGIA CSB NPI is 1154494359. The provider is registered as an organization entity type.
The provider Is Doing Business As Brooks Dd Services.

The provider's business location address is:

1200 ROUNDTREE ST
QUITMAN, GA
ZIP 31643-712
Phone: (229) 263-7510
Fax: (229) 263-4925

The provider's authorized official is Sue Gupton .
The authorized official title is Chief Executive Officer and has the following contact phone number (229) 671-6101.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 12/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: