NPI 1013474915

Community Service Board of East Central Georgia

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Hephzibah, GA

Practice location

Address: 1715 Lawerence Rd, Hephzibah, GA 30815-4445
Phone: (706) 432-4837
Mailing address: 3421 Mike Padgett Hwy, Augusta, GA 30906-3815

Authorised official

Name: Michele Prior
Title: Billing Supervisor
Phone: (706) 432-4837

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Georgia →

Registry record

NPI: 1013474915
Entity type: Organization
NPI issued: 27 Feb 2019
Record last updated: 27 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.