Organization
SOUTH GEORGIA CSB
Active
Other names
Northpoint
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE GUPTON (CHIEF EXECUTIVE OFFICER)
(229) 245-2379
Entity
Organization
Contact information
Practice address
4401 WILLOW WOOD GATE, VALDOSTA, GA 31602-6709
(229) 242-4734
(229) 242-2984
Mailing address
4401 WILLOW WOOD GATE, VALDOSTA, GA 31602-6709
(229) 242-4734
(229) 242-2984
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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