Organization
CSB OF EAST CENTRAL GEORGIA
Active
Other names
Lisa Cabe PCH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET WEBB (BILLING SUPERVISOR)
(706) 432-7893
Entity
Organization
Contact information
Practice address
4054 BATH EDIE RD, BLYTHE, GA 30805-3600
(706) 432-7893
(706) 432-3780
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-7893
(706) 432-3780
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000927693AS
—
GA
Enumeration date
01/18/2012
Last updated
01/18/2012
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