NPI 1053642686

Csb of East Central Ga

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Augusta, GA

Practice location

Address: 2115 Ashley Dr, Augusta, GA 30906-5085
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

Residential Treatment Facilities Taxonomy 320600000X

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

Registry record

NPI: 1053642686
Entity type: Organization
NPI issued: 21 Jan 2010
Record last updated: 21 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.