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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