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Organization

ERNESTINE NELSON

Active
Parent organization
SATILLA COMMUNITY SERVICE
Organization subpart
Yes

Provider details

NPI number
Legal business name
SATILLA COMMUNITY SERVICE
Authorized official
BOBBY BROWN (CEO)
(912) 449-7111
Entity
Organization

Contact information

Practice address
701 REED ST, WAYCROSS, GA 31501-2931
(912) 285-7267
(912) 449-7060
Mailing address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7111
(912) 449-7060

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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