Organization · NPI-2

Georgia Pines Community Service Board

Community/Behavioral Health · Tifton, GA

NPI number1609216027

StatusActive

Last updated in NPPESJun 29, 2013

Details

NPI: 1609216027
Entity type: Organization (NPI-2)
Legal business name: Georgia Pines Community Service Board
Organization subpart: No
Enumeration date: Jun 29, 2013
Last updated: Jun 29, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes

Practice location

334 Tifton Eldorado Rd
Tifton, GA 31794-9497

Phone 229-225-4335 · Fax 229-225-4374

Mailing address

1102 Smith Ave
Thomasville, GA 31792-5739

Phone 229-225-4335 · Fax 229-225-4374

Authorized official

Robert H Jones
Executive Director
2292254373

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