Organization
COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Active
Other names
Building Hope
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KEITH MORAN (CFO)
(478) 275-6811
Entity
Organization
Contact information
Practice address
1444 MORGAN CREEK DR, EASTMAN, GA 31023
(478) 374-7037
Mailing address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 274-7628
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000643618C
—
GA
Enumeration date
02/25/2019
Last updated
02/25/2019
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