Organization
COBB COUNTY COMMUNITY SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOD CITRON (CEO)
(770) 429-5000
Entity
Organization
Contact information
Practice address
1930 VETERANS MEMORIAL HWY, AUSTELL, GA 30168-3612
(770) 948-1411
Mailing address
3830 S COBB DR SE, SUITE 300, SMYRNA, GA 30080-5532
(770) 429-5000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00603512B
—
GA
Enumeration date
02/13/2007
Last updated
08/22/2020
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