NPI 1043541709
Csb of East Central Ga
Practice location
- Address
- 4064 Bath Edie Rd, Blythe, GA 30805-3600
- Phone
- (706) 432-4858
- Fax
- (706) 432-3780
- Mailing address
- 3421 Mike Padgett Hwy, Augusta, GA 30906-3815
Authorised official
- Name
- Wanda Jessie
- Title
- Billing Manager
- Phone
- (706) 432-4858
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1043541709
- Entity type
- Organization
- NPI issued
- 20 Jan 2010
- Record last updated
- 20 Jan 2010
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.