Organization
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Active
Organization
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Active
Other names
Central State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN BAILEY (REGIONAL HOSPITAL ADMINISTRATOR)
(478) 445-4128
Entity
Organization
Contact information
Practice address
620 BROAD ST, MILLEDGEVILLE, GA 31062-7525
(478) 445-4128
Mailing address
620 BROAD ST, MILLEDGEVILLE, GA 31062-7525
(478) 445-4128
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
005-3263
GA
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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