Organization
OCONEE COMMUNITY SERVICE BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER GHEESLING (OFFICE SYSTEMS MANAGER)
(478) 445-4971
Entity
Organization
Contact information
Practice address
1239 ORCHARD HILL RD, MILLEDGEVILLE, GA 31061-2549
(478) 445-4721
Mailing address
PO BOX 1827, MILLEDGEVILLE, GA 31059-1827
(478) 445-4817
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604469AI
—
GA
05
—
000604469N
—
GA
Enumeration date
09/25/2007
Last updated
11/11/2021
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