Organization
CSB OF EAST CENTRAL GEORGIA
Active
Other names
CSP PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA L. JESSIE (BILLING MANAGER)
(706) 432-4858
Entity
Organization
Contact information
Practice address
3405 BUILDING #15, AUGUSTA, GA 30906-3815
(706) 792-7267
(706) 432-3780
Mailing address
3405 BUILDING # 15, MIKE PADGETT HWY., AUGUSTA, GA 30906-3815
(706) 792-7267
(706) 432-3780
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
GA
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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