Organization
ALBANY AREA COMMUNITY SERVICE BOARD
Active
Other names
Early Co OPS - Day Serv
Organization subpart
No
Provider details
NPI number
Authorized official
DANA P GLASS LCSW (CEO)
(229) 430-4005
Entity
Organization
Contact information
Practice address
763 JESSE JOHNSON DR, BLAKELY, GA 39823-3224
(229) 430-4002
Mailing address
2063 S MAIN ST, BLAKELY, GA 39823-2267
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000744895F
—
GA
Enumeration date
01/04/2007
Last updated
12/30/2025
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