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CSB OF EAST CENTRAL GEORGIA NPI 1285700385


NPI Information

NPI: 1285700385
Provider Name: CSB OF EAST CENTRAL GEORGIA

Doing Business As: CSP PROGRAM

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3405 BUILDING #15
AUGUSTA, GA
ZIP 30906
Phone: (706) 792-7267
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CSB OF EAST CENTRAL GEORGIA is a mental health (including community mental health center) clinic center in Augusta, GA. CSB OF EAST CENTRAL GEORGIA NPI is 1285700385. The provider is registered as an organization entity type.
The provider Is Doing Business As Csp Program.

The provider's business location address is:

3405 BUILDING #15
AUGUSTA, GA
ZIP 30906-815
Phone: (706) 792-7267
Fax: (706) 432-3780

The provider's authorized official is Wanda L. Jessie .
The authorized official title is Billing Manager and has the following contact phone number (706) 432-4858.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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