Organization
OCONEE COMMUNITY SERVICE BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA WEAVER (OFFICE MANAGER SYSTEMS)
(478) 445-4971
Entity
Organization
Contact information
Practice address
824 SCHOOL ST, SANDERSVILLE, GA 31082-7034
(478) 240-3050
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
—
00604469A
—
GA
Enumeration date
01/09/2008
Last updated
06/21/2018
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