Organization
COFFEE CS COMP
Active
Parent organization
SATILLA COMMUNITY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATILLA COMMUNITY SERVICES
Authorized official
BOBBY BROWN (CEO)
(912) 449-7111
Entity
Organization
Contact information
Practice address
920 COLLEGE PARK DR W, DOUGLAS, GA 31533-2124
(912) 449-7111
(912) 449-7060
Mailing address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 389-4025
(912) 449-7060
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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