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Organization
COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Active
Organization
COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Active
Other names
Building Hope
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KEITH MORAN (CFO)
(478) 275-6811
Entity
Organization
Contact information
Practice address
1444 MORGAN CREEK DR, EASTMAN, GA 31023
(478) 374-7037
Mailing address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 274-7628
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000643618C
—
GA
Enumeration date
02/25/2019
Last updated
02/25/2019
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