Organization
COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA
Active
Parent organization
COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA
Other names
Woods Host Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA
Authorized official
MICHELE PRIOR (BILLING MANAGER)
(706) 432-4837
Entity
Organization
Contact information
Practice address
1908 DRIFTWOOD DR, AUGUSTA, GA 30909-4113
(706) 432-4837
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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