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Organization
SOUTH GEORGIA CSB
Active
Organization
SOUTH GEORGIA CSB
Active
Other names
New Beginnings
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA HARRELL (CHIEF FINANCIAL OFFICER)
(229) 671-6140
Entity
Organization
Contact information
Practice address
252 N SAINT AUGUSTINE RD, VALDOSTA, GA 31601-5274
(229) 245-6400
(229) 249-4996
Mailing address
252 N SAINT AUGUSTINE RD, VALDOSTA, GA 31601-5274
(229) 245-6400
(229) 249-4996
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000742475O
—
GA
Enumeration date
11/16/2006
Last updated
01/08/2009
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