Organization
CSB OF MIDDLE GEORGIA
Active
Organization
CSB OF MIDDLE GEORGIA
Active
Other names
Community Mental Health Center of Middle GA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATSY H THOMAS ED.D. (EXECUTIVE DIRECTOR)
(478) 272-1190
Entity
Organization
Contact information
Practice address
2121-A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 275-6649
Mailing address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 275-6649
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
RN126651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606284H
—
GA
Enumeration date
12/15/2010
Last updated
12/15/2010
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