Organization · NPI-2
Community Service Board Of Middle Georgia
Clinic/Center, Mental Health (Including Community Mental Health Center) · Dublin, GA
NPI number1689657637
StatusActive
Last updated in NPPESJan 12, 2016
Details
- NPI
- 1689657637
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Service Board Of Middle Georgia
- Organization subpart
- No
- Enumeration date
- Nov 23, 2005
- Last updated
- Jan 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 007-R-0003 | GA | Yes |
Other names
- Community Mental Health Center Of Middle Georgia (Doing Business As)
Practice location
2121a Bellevue RdDublin, GA 31021-2998
Phone 478-272-1190 · Fax 478-274-7628
Mailing address
2121a Bellevue RdDublin, GA 31021-2998
Phone 478-272-1190 · Fax 478-274-7628
Authorized official
Keith Moran
Chief Financial Officer
4782721190
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