Organization
COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Active
Organization
COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Active
Other names
Soperton C&A Day Services
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA REID (CFO)
(478) 272-1190
Entity
Organization
Contact information
Practice address
417 LOUISIANA AVE E, SOPERTON, GA 30457-1126
(478) 272-1190
(478) 274-7628
Mailing address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 274-7628
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606284M
—
GA
Enumeration date
03/14/2007
Last updated
07/09/2015
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