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Organization
CSB OF EAST CENTRAL GA
Active
Organization
CSB OF EAST CENTRAL GA
Active
Other names
RICHMOND DD/TASC: NOW - A
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA JESSIE (BILLING MANAGER)
(706) 432-4858
Entity
Organization
Contact information
Practice address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4858
(706) 432-3780
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4858
(706) 432-3780
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
GA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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