Whalio Doctors

NPI 1053624585

South Georgia Csb

Organisation Mental Illness Community Based Residential Treatment Facility Valdosta, GA

Practice location

Address
1209 N Toombs St, Valdosta, GA 31601-3931
Phone
(229) 671-4255

Authorised official

Name
Brenda Harrell
Title
Chief Financial Officer
Phone
(229) 671-6100

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1053624585
Entity type
Organization
NPI issued
26 Jul 2010
Record last updated
26 Jul 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.