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Organization

ALBANY AREA CSB

Active
Other names
Early Co CA
Organization subpart
No

Provider details

NPI number
Authorized official
DANA GLASS LCSW (CHIEF EXECUTIVE OFFICER)
(229) 430-4005
Entity
Organization

Contact information

Practice address
763 JESSE JOHNSON DR, BLAKELY, GA 39823-3224
(229) 430-4002
Mailing address
PO BOX 1988, ALBANY, GA 31702-1988
(229) 430-4140

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000601796L
GA
Enumeration date
12/21/2006
Last updated
12/30/2025
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