Organization
SOUTH GEORGIA COMMUNITY SERVICE BOARD
Active
Other names
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYMAL PATEL MD (CEO)
(229) 671-6140
Entity
Organization
Contact information
Practice address
1308 W PARK AVE, VALDOSTA, GA 31602-2722
(229) 671-6100
(229) 671-6774
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6125
(229) 671-6774
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
GA
Other
Enumeration date
08/12/2016
Last updated
09/12/2016
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