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Organization

CSB OF EAST CENTAL GA

Active
Other names
Germany Host Home
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE PRIOR (BILLING MANAGER)
(706) 432-4837
Entity
Organization

Contact information

Practice address
460 WHITE RD, HARLEM, GA 30814-3408
(706) 901-5072
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
06/19/2018
Last updated
06/19/2018
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