Csb Of Middle Georgia
Clinic/Center, Adult Mental Health in Dublin, GA. Organization (NPI-2).
NPI number1508169400
StatusActive
Last updated in NPPESDec 15, 2010
Details
- NPI
- 1508169400
- Entity type
- Organization (NPI-2)
- Legal business name
- Csb Of Middle Georgia
- Organization subpart
- No
- Enumeration date
- Dec 15, 2010
- Last updated
- Dec 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | RN126651 | GA | Yes |
Other names
- Community Mental Health Center Of Middle Ga (Doing Business As)
Practice location
2121-A Bellevue RdDublin, GA 31021-2998
Phone 478-272-1190 · Fax 478-275-6649
Mailing address
2121a Bellevue RdDublin, GA 31021-2998
Phone 478-272-1190 · Fax 478-275-6649
Authorized official
Patsy H Thomas
Executive Director
4782721190
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