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Organization
COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA
Active
Organization
COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA
Active
Parent organization
COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA
Other names
Serenity Behavioral Health Systems
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA
Authorized official
MICHELE PRIOR (BILLING SUPERVISOR)
(706) 432-4837
Entity
Organization
Contact information
Practice address
1253 GREENE ST, AUGUSTA, GA 30901-2127
(706) 432-4837
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606317AS
—
GA
Enumeration date
01/18/2018
Last updated
01/18/2018
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