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Organization

COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH MORAN (CFO)
(478) 275-6811
Entity
Organization

Contact information

Practice address
302 E OGEECHEE ST, SYLVANIA, GA 30467-2403
(912) 564-7825
(912) 564-5778
Mailing address
223 N ANDERSON DR, SWAINSBORO, GA 30401-4440
(478) 289-2683
(478) 289-2798

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000606383E
GA
Enumeration date
06/26/2017
Last updated
06/26/2017
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