Organization
OCONEE COMMUNITY SERVICE BOARD
Active
Parent organization
OCONEE COMMUNITY SERVICE BOARD
Other names
New Beginning
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCONEE COMMUNITY SERVICE BOARD
Authorized official
JENNIFER B GHEESLING (BILLING MANAGER)
(478) 445-4971
Entity
Organization
Contact information
Practice address
75 BOLAND CIR, SPARTA, GA 31087-2007
(706) 444-1037
(706) 444-1034
Mailing address
PO BOX 1827, MILLEDGEVILLE, GA 31059-1827
(478) 445-4971
(478) 445-2245
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604469AI
—
GA
01
—
202G709158
MEDICARE PTAN
GA
Enumeration date
10/12/2011
Last updated
03/04/2020
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