CSB OF EAST CENTAL GA NPI 1811481245

NPI Information

CSB OF EAST CENTAL GA is a community based residential treatment facility, intellectual and/or developmental disabilities in Harlem, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CSB OF EAST CENTAL GA NPI is 1811481245. The provider is registered as an organization entity type.
The provider Other Name Is Germany Host Home.

The provider's business location address is:

460 WHITE RD
HARLEM, GA
ZIP 30814-408
Phone: (706) 901-5072

The provider's authorized official is Michele Prior .
The authorized official title is Billing Manager and has the following contact phone number (706) 432-4837.

The enumeration date for this NPI number is 6/19/2018 and was last updated on 6/19/2018.

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:

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