Organization · NPI-2

Csra Psychological Services Limited Liability Company

Clinic/Center, Mental Health (Including Community Mental Health Center) · Evans, GA

NPI number1811775216
StatusActive
Last updated in NPPESSep 18, 2023

Details

NPI
1811775216
Entity type
Organization (NPI-2)
Legal business name
Csra Psychological Services Limited Liability Company
Organization subpart
No
Enumeration date
Sep 18, 2023
Certification date
Sep 18, 2023
Last updated
Sep 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

930 Glenhaven Dr
Evans, GA 30809-0445

Phone 706-814-6429 · Fax 706-814-6429

Mailing address

125 Commercial Blvd Po Box 204301
Martinez, GA 30917-4301

Phone 706-814-6429 · Fax 706-814-6429

Other practice locations

511 Courthouse Ln
Augusta, GA 30901-2447

Phone 706-814-6429

Authorized official

Elizabeth L Edwards
Owner
7068146429

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