CSB OF EAST CENTRAL GA NPI 1871824409

NPI Information

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 1871824409. The provider is registered as an organization entity type.
The provider Is Doing Business As Gormley Pch.

The provider's business location address is:

1086 HORSESHOE RD
AUGUSTA, GA
ZIP 30906-767
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:

Other Identifiers

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