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CSB OF EAST CENTRAL GA NPI 1437480035


NPI Information

NPI: 1437480035
Provider Name: CSB OF EAST CENTRAL GA

Doing Business As: MOYD S. BELAIR RD

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
313 S BELAIR RD
AUGUSTA, GA
ZIP 30907
Phone: (706) 432-4858
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CSB OF EAST CENTRAL GA is a residential treatment facility, intellectual and/or developmental disabilities in Augusta, GA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CSB OF EAST CENTRAL GA NPI is 1437480035. The provider is registered as an organization entity type.
The provider Is Doing Business As Moyd S. Belair Rd.

The provider's business location address is:

313 S BELAIR RD
AUGUSTA, GA
ZIP 30907-835
Phone: (706) 432-4858
Fax: (706) 432-3780

The provider's authorized official is Wanda 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 1/21/2010 and was last updated on 1/21/2010.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000927693ACMEDICAIDGEORGIA

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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